F628 in Vermont. Pick another state for the same tag.
Against expectation — 2025
Vermont cites F628 more often than its own record predicts
Versus expected share1.37×
1.37 times the share F628 takes of citations nationally.
Share of Vermont citations1.28%
Of every deficiency written in Vermont in 2025, this is the portion that was F628.
Vermont1.28%
National0.93%
Share of all citations that were F628.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F628 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.
D · No harm, potential for more than minimal, isolatedJanuary 28, 2026
Based on interview and record review the facility failed to provide notice of bed hold to 1 of 1 residents in the sample (Resident #22). This is a repeat deficiency for this facility, with the violation cited during a previous partial survey dated 5/28/25. Findings include: Per record review a nursing progress note dated 6/15/25 reflects that Resident #22 was sent to the hospital emergency department during an emergent medical event. Per record review there was no bed hold notice in the resident's chart. There was no documented evidence showing the Long-Term Care Ombudsman was notified of the hospitalization. …
B · No harm, potential for minimal, patternJune 23, 2026
Based on record review and interview the facility failed to notify the long-term care Ombudsman of transfer/discharges for 3 of 3 sampled residents. Findings include:Per record review of Resident #1, Resident #2 and Resident #3's medical record, there was no documentation that the Ombudsman was notified of their transfer/discharge. Per interview on 6/23/26 at 12:15PM, the Administrator confirmed they do not notify the Ombudsman's office for planned transfers/discharges to other skilled nursing facilities.
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