Based on interview and record review, the facility failed to complete a performance review of every nurse aide at least once every 12 months or provide regular in-service education based on the outcome of these reviews for 4 of 4 sampled employee files. Findings include: A review of 4 employee files indicated that Licensed Nursing Assistant (LNA) #1 was hired on 10/1/2024, LNA #2 with a hire date of 7/18/2023, LNA # 3 with a hire date of 7/24/2025, and LNA #4 with a hire date of 12/17/2018 did not have evidence of performance reviews for 2025 in their employee files.Per the interview with the Administrator on 3/25/26 at 2:40 PM, she confirmed that the 2025 employee reviews had not been completed.
F730 citations in Vermont
Nurse aide performance review · Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F730 more often than its own record predicts
1.86 times the share F730 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F730.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F730 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 interviews and employee files, the facility failed to ensure that Licensed Nursing Assistants ( LNAs) received annual performance evaluations for 2 of the 2 LNAs employee files reviewed. Findings Include: Per review of employee files for LNAs who have worked at the facility for longer than a year, no nurse aide performance evaluations were completed within the past year. Per interview on 10/2/2024 at approximately 11:00, the Administrator confirmed that employee annual performance evaluations for the LNAs had not been completed.
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 1.65% | 4.71× |
| 2024 | 0.63% | 1.80× |
| 2025 | 0.64% | 1.86× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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