Based on interviews and record review, the facility failed to notify residents and/or their representative in writing of a transfer/discharge for 3 out 3 sampled residents (Residents #14, #22, and #26). Findings include: Per facility Transfer or Discharge Policy reviewed 1/2024, The Resident and/or their representative will be notified in writing of the following information: a. Reason for transfer/discharge. b. Effective date of transfer/discharge. c. The location to which the resident is being transferred/discharged d. A statement of the resident's right to appeal the transfer/discharge e. The facility bed hold policy f. The name, address, and telephone number of the Office of the State Long-term Care Ombudsman Record review shows that Resident #14 was hospitalized on [DATE]. …
F623 citations in Vermont
Notice before transfer or discharge · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F623 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Vermont in 2025, this is the portion that was F623.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F623 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.
Based on staff interviews and record reviews the facility failed to notify the resident and/or resident representative in writing of a transfer/discharge and send a copy of the notice to the Ombudsman for 2 of 2 applicable residents (Residents #17 and #42). Findings include: 1.Per record review the progress note revealed on 7/7/2023 Resident #17 experienced decreased oxygen saturation and malaise and was transferred to an acute care hospital where they were assessed and returned to the facility. There is no indication in the clinical record that staff notified the resident and/or representative or the Ombudsman regarding transfer or discharge in writing as required by regulation. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 1.65% | 1.81× |
| 2024 | 0.32% | 0.31× |
| 2025 | 0.32% | 0.78× |
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