Based on interview and record review, the facility failed to ensure that an allegation of staff to resident physical abuse for 1 of 3 residents in the applicable sample (Resident #1), and staff to resident sexual abuse for 1 of 3 residents in the applicable sample (Resident #2) was reported to the Administrator of the facility and the state agency within the required timeframe.Findings include:1.) Per review of the facility abuse reporting form that was submitted to the state agency on 6/16/2026 an alleged incident of staff to resident abuse occurred on 6/16/2026 at 3:00 AM. …
F609 citations in Vermont
Reporting alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F609 more often than its own record predicts
1.44 times the share F609 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F609 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.
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 3.30% | 1.67× |
| 2024 | 3.49% | 1.53× |
| 2025 | 3.51% | 1.44× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction