F626 in Vermont. Pick another state for the same tag.
Against expectation — 2024
Vermont cites F626 more often than its own record predicts
Versus expected share2.34×
2.34 times the share F626 takes of citations nationally.
Share of Vermont citations0.32%
Of every deficiency written in Vermont in 2024, this is the portion that was F626.
Vermont0.32%
National0.14%
Share of all citations that were F626.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F626 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.
J · Immediate jeopardy, isolatedMay 1, 2019
Based on record review, staff and resident interviews, the facility failed to permit return to the facility after a therapeutic leave for 1 of 4 residents in the sample (Resident #1). Findings include:
Per record review, staff and resident interviews, Resident #1 returned to the facility 4/24/19 at least twice after having been considered discharged against medical advice (AMA) by the facility (signature on 4/24/19 at 1:00 PM, per AMA document). The facility thought the resident was leaving the building to go to a friend's to live, but took no steps to ensure care/services at that discharge location, nor confirm that as an option. …
Based on interview and record review the facility failed to establish a protocol on permitting resident to return to the facility after they are hospitalized or placed on therapeutic leave and failed to allow one of one sampled residents [Resident #1] to return to the facility while pending an appeal for discharge. Findings include:
Record review reveals that Resident #1 was transferred to an acute facility on 9/7/2022 for an evaluation due to physical aggressive behaviors. A progress note written by Resident #1's physician on 9/8/2022 states the facility initiated discharge, discussed on 9/8/2022, is due to safety concerns for staff and vulnerable residents and that the facility does not feel they can meet his/her care needs. …
D · No harm, potential for more than minimal, isolatedJanuary 24, 2024
Based on observation, interview, and record review the facility failed to accept a resident back after being transferred to an acute care facility for evaluation for 1 of 26 residents sampled. (Resident #33). Findings include:
Per the record review Resident #33 was admitted to the facility on [DATE] for Long Term Care with diagnoses of Parkinson's and Dementia with Psychotic disturbance. Progress notes written between 9/19/23- 9/21/23 reveal that Resident #33 began exhibiting aggressive behaviors, was placed on 1:1 supervision for safety, and was then transferred to the hospital on 9/21/23. A review of the hospital Discharge summary dated 9/29/23 reveals that Resident #33 was seen in the emergency department (ED) and the initial workups was unremarkable. …
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