F741 in Vermont. Pick another state for the same tag.
Against expectation — 2024
Vermont cites F741 more often than its own record predicts
Versus expected share6.34×
6.34 times the share F741 takes of citations nationally.
Share of Vermont citations0.32%
Of every deficiency written in Vermont in 2024, this is the portion that was F741.
Vermont0.32%
National0.05%
Share of all citations that were F741.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F741 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.
G · Actual harm, isolatedNovember 3, 2022
Based on record review and staff interviews, the facility failed to provide sufficient staff who have the training to address behavioral health care needs for 1 of 2 residents [Resident #1] Findings include:
Record review reveals that Resident #1 was initially admitted to the facility on [DATE] and most recently readmitted to the facility on [DATE] following a hospital stay. At the time of this readmittance his/her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A readmission note written by Resident #1's physician describes Resident #1 as having a problem with anxiety and depression and that s/he has had issues related to dysregulated behavior, verbal abuse and aggression directed toward staff in nursing home setting. …
D · No harm, potential for more than minimal, isolatedJuly 5, 2024
Based on observation, interviews, and record review the facility failed to ensure that staff was provided the necessary training and possessed the necessary competencies to care for residents with diagnoses of OUD (opioid use disorder), SUD (substance abuse disorder), and PTSD (post-traumatic stress disorder) for 1 of 7 sampled residents (Resident #1). Findings include:
Per review of 3 Licensed Nursing Assistant's (LNA's) employee training files. 2 of the 3 LNAs had not received any training related to OUD or SUD. 1 of 3 LNAs files revealed no evidence of training related to PTSD and trauma informed care.
Per review of 3 Staff Nurse employee files, 1 Registered Nurse (RN) file revealed no evidence of training related to SUD, OUD, PTSD, and trauma informed care. …
B · No harm, potential for minimal, patternJune 21, 2023
Based on interview and record review the facility failed to ensure that 2 of 5 sampled staff members had the necessary training and competencies to provide care for residents with dementia. Findings include:
Per review of 5 sampled employee files, two Licensed Practical Nurses (LPNs) did not have evidence of required dementia specific training in their education file.
Per interview with the Center Executive Director and the Director of Nursing (DON) on 6/20/23 at approximately 4:30 PM the DON confirmed that there was no evidence that the two LPNs had received any dementia specific training or been assessed for competency related to dementia care services since hire.
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