Based on interview and record review, the facility failed to acknowledge and assess the underlying causes of the resident's expression of distress and failed to develop and implement a care plan that addressed this distress, resulting in deterioration of the resident's mental and psychosocial well-being and resulting in the resident harming self for 1 of 3 (Resident #1) of the applicable sample and failed to revise care plans for triggers related to trauma for 9 or 12 residents (Residents #1, #2, #3, #4, #5, #6, #7, and #8). This is a repeat deficiency for this facility, with the violation cited during the previous recertification survey, dated 1/28/25. …
F742 citations in Vermont
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F742 more often than its own record predicts
7.93 times the share F742 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F742.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F742 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 provide treatment and services for 1 applicable resident (Resident #79) diagnosed with post-traumatic stress disorder (PTSD). Findings include:Per record review, Resident #79 has a diagnosis of post-traumatic-stress disorder (PTSD) and, as a result, suffers from nightmares and sleep disturbances. Per review of Resident #79's Plan of care meeting notes dated 7/7/25, it mentions how Patient said [he/she] continues to have nightmares and wants to follow-up with provider. Nursing agreed to direct that concern to provider.Per interview with Resident #79 on 8/25/25 at 12:39 PM, s/he reported that nobody here is following up with him/her for psychological services. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 0.55% | 4.96× |
| 2024 | 0.95% | 7.63× |
| 2025 | 0.96% | 7.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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