Based on staff interviews and record review, the facility failed to ensure the timely acquisition and availability of ordered medications to meet resident needs, resulting in omission or delay of physician ordered drugs for 3 of 5 sampled residents (Resident #1, #2, and #3) and, per facility audit, for 35 of 81 residents facility wide. As a result, Resident #1 did not receive venlafaxine XR for 4 days and pregabalin for 8 days and suffered an unwitnessed fall, headache, elevated blood pressure, and seizure like activity that required them to be evaluated and treated at the hospital. Findings include: 1. …
F755 citations in Vermont
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Vermont cites F755 less often than its own record predicts
0.74 times the national share — cited less often here than elsewhere.
Of every deficiency written in Vermont in 2024, this is the portion that was F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F755 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 and record review the facility failed to ensure two of three sampled residents (Resident #3 and Resident #4) had narcotics appropriately documented and signed in from the pharmacy. Findings include:1. Per record review, Resident #3 has an order for Oxycodone [a medication used to treat pain] IR [Immediate Release] 5 mg [milligram] tab [tablet]: Take one tab po [by mouth] q4h p [every four hours] prn [as needed] for pain.Per review of the facility's internal investigation report dated 6/6/26 it states, On 6/6/26, I received a call to inform me [RN#1] reported to [RN#2] the narcotic count was off by one in the East Cart during count. The narcotic log indicated that there should have been 37 tablets but there only 36. The pill was unable to be located. …
Based upon record review and interviews the facility failed to assure the pharmaceutical services met the residents needs either through timely acquisition, or administration. This has the potential to affect all residents, notably new admissions. An anonymous concern was reported to the Division of Licensing and Protection regarding untimely delivery of newly admitted residents' medications, the use of resident's medications brought in from home or borrowing other resident's medications. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 1.10% | 0.52× |
| 2024 | 1.59% | 0.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction