Based on record review and staff interview, the physician failed to ensure that the onsite review of the resident's total program of care included necessary lab testing and medication adjustments for 1 of 3 residents reviewed (Resident #1). Findings include: Per record review, Resident #1 was admitted to the facility on [DATE] from an acute care hospital after surgical insertion of a Cardiac Pacemaker. The resident had been on a long -term therapy of the anticoagulant medication [MEDICATION NAME] for [MEDICAL CONDITION] Fibrillation (A-Fib), and was admitted with orders for 1 mg. daily 6 days per week, with 2 mg. dose to be given on Mondays. …
F711 citations in Vermont
Nursing and Physician Services Deficiencies
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F711 more often than its own record predicts
5.21 times the share F711 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F711.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F711 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 interview, record review, and review of facility policies, the facility failed to ensure that a physician reviewed the total program of care during the required admission visits for 2 of 3 sampled residents (Resident #1 and #3), enter signed and dated progress notes per facility policy for 3 of 3 sampled Residents (Residents #1, #2, and #3), and sign and date resident orders for 3 of 3 sampled residents (Resident #1, #2, and #3). Findings include: Facility policy Standards and Procedures for All Licensed Independent Practitioners, last revised 9/17/21, states, Upon the admission of a patient, the attending physician or advanced practice provider (APP) is required to: Enter appropriate admission orders on the day of admission. …
Based on record review and staff interview, the facility failed to ensure that physicians reviewed the resident's total program of care at required physician visits for 2 of 18 residents (Resident #6 and Resident #33). Findings include:1.) Per record review Resident #33 has diagnoses that include dementia, anxiety, osteoporosis, cachexia (a complex metabolic syndrome characterized by involuntary weight loss, muscle wasting, and often fat loss associated with chronic or severe illness), gastroesophageal reflux, adult failure to thrive, pressure ulcer of the sacral region, malnutrition, and depression, bipolar disorder, and dysphagia (painful and/of difficult swallowing). …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 0.55% | 5.19× |
| 2024 | 0.95% | 7.83× |
| 2025 | 0.64% | 5.21× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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