F757 in Vermont. Pick another state for the same tag.
Against expectation — 2025
Vermont cites F757 less often than its own record predicts
Versus expected share0.40×
0.40 times the national share — cited less often here than elsewhere.
Share of Vermont citations0.32%
Of every deficiency written in Vermont in 2025, this is the portion that was F757.
Vermont0.32%
National0.80%
Share of all citations that were F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F757 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.
J · Immediate jeopardy, isolatedMarch 27, 2019
Based on record review and staff interview, the facility failed to ensure that residents were free from unnecessary drugs for 1 of 3 residents reviewed (Resident #1), who did not have adequate monitoring of lab values to ensure medications were in therapeutic ranges. 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, and was admitted on a long -term therapy of the anticoagulant medication [MEDICATION NAME] for [MEDICAL CONDITION] Fibrillation (A-Fib). The Resident was admitted with orders for [MEDICATION NAME] 1 mg. daily 6 days per week, with 2 mg. dose to be given on Mondays. …
Based on staff interview and record review, the facility failed to ensure 1 applicable resident (Resident #1) was free from unnecessary drugs. Findings include:
Per record review, Resident # 1 was administered the wrong drug on 11/2/17. A fax notice from facility nursing staff to the physician dated 11/4/17 stated that flu vaccine was drawn up in error instead of [MEDICATION NAME] solution and administered. (H/she) does have a flu vaccine allergy listed. Review of the Medication Administration Record [REDACTED]. A second fax to the physician on 11/4/17 indicated that Resident # 1 had developed a rash to abdomen and bilateral thighs, bilateral arms and back, hive-like and itching. …
E · No harm, potential for more than minimal, patternMarch 27, 2025
Based on interview and record review, the facility failed to ensure that 2 out of 10 applicable residents (Resident #20, #23) remained free from unnecessary medications. Findings include:
1). Per record review, Resident #23 was readmitted to the facility on [DATE] status post fractured hip with surgical repair, and a history of Alzheimer's dementia. Resident #23 had the following medication orders written by the Provider on 3/14/25: Oxycodone 2.5 mg every 4 hours as needed for hip fracture post-op pain, start 3/14/25 with no evidence of stop date. Morphine 0.5 mls every 2 hours as needed for Hip fracture; post -op pain; Comfort measures, with no evidence of a stop date. …
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