Based on observation, interviews, and record review, the facility failed to provide the resident with an environment free of physical restraints for 1 (Resident #36) of 3 residents in the sample. Findings include:Per record review, Resident #36 is care planned for wandering and elopement.Per observation made on 4/27/2026 at approximately 10:19 AM, Resident #36 was in their room yelling and was unable to open the mesh gate that was on their room door, preventing them from leaving their room. …
F604 citations in Vermont
Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F604 more often than its own record predicts
1.68 times the share F604 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F604 findings written in Vermont, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
What else Vermont surveyors cite →
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