Based on observation, interview, and record review, the facility failed to ensure that the medical care of each resident is supervised by a physician for 3 of 15 sampled residents (Resident #7, #1, #4). As a result Resident #7 who was positive for COVID, did not receive specific monitoring or treatment for the COVID infection, and died of COVID, Resident #1's violent behaviors continued to put other residents at risk, and Resident #4 suffered injury that was not immediately assessed or treated. This citation is at the immediate jeopardy level due to medical care not being supervised by the physician resulting in residents not being treated for COVID, aggressive behaviors, and failure to assess resident with suspected injury to his/her head. Findings include: 1. …
F710 citations in Vermont
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F710 more often than its own record predicts
9.49 times the share F710 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F710.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F710 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 observation, interview, and record review the facility failed to ensure that a physician supervised and provided consultation or treatment when contacted by the facility for 1 of 18 Residents in the sample (Resident #52). Findings include:During an interview with Resident #52 on 4/13/2026 at 11:30AM, s/he was observed scratching both of their arms. The Resident stated that s/he had been itching for about three weeks, and s/he thinks it is a seasonal thing. The Resident stated that s/he had asked for medication to help. Observation of the Resident's arms revealed deep scratches on both upper and lower arms. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2024 | 0.63% | 7.81× |
| 2025 | 0.64% | 9.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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