Based on interview, and record review, the facility failed to ensure that Residents with colostomies receive care and services consistent with professional standards of practice and the comprehensive care plan for 2 of 2 sampled residents (Residents #1 and #2). Findings include: 1. Per record review, Resident #1 was admitted to the facility on [DATE] with a diagnosis of Diverticulitis (a chronic condition of the intestines), Failure to Thrive, and Colostomy Status (a colostomy is when the intestines are surgically diverted to exit out of an incision in the abdomen). Per review of a provider admission note entered on 4/5/24, the note states, Patient had recent colon resection for bowel obstruction approximately 2 and half weeks ago. …
F691 citations in Vermont
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Vermont cites F691 more often than its own record predicts
7.97 times the share F691 takes of citations nationally.
Of every deficiency written in Vermont in 2024, this is the portion that was F691.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F691 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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