F760 in Vermont. Pick another state for the same tag.
Against expectation — 2025
Vermont cites F760 more often than its own record predicts
Versus expected share1.23×
1.23 times the share F760 takes of citations nationally.
Share of Vermont citations1.60%
Of every deficiency written in Vermont in 2025, this is the portion that was F760.
Vermont1.60%
National1.30%
Share of all citations that were F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F760 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, isolatedFebruary 3, 2026
Based on interview and record review the facility failed to ensure that residents were free from significant medication errors caused by frequent omissions of medications related to availability and/or transcription practices for 3 of 5 residents in the sample (Residents #1. #2. and #3). Due to this deficient practice Resident #1 experienced 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. Per record review, Resident #1 has diagnoses that include panic disorder, anxiety disorder, dissociative identity disorder, major depressive disorder, tremor, and hypertension. …
D · No harm, potential for more than minimal, isolatedApril 22, 2026
Based on interview and record review, the facility failed to ensure 1 of 1 sampled residents (Resident #67) was free from significant medication errors related to staff not verifying that morphine concentration on the bottle matched the written order. Findings include:Per record review, Resident #67 was placed on comfort care on 2/12/2026. Diagnoses for Resident #67 include dementia, hypertensive heart disease, anxiety, depression, lymphedema (swelling caused by accumulation of fluid), and unspecified seizures.During an interview with the Director of Nursing (DON), Assistant Director of Nursing (ADON), and the Administrator on 4/21/2026 at 1:10 PM, they confirmed that a significant medication error involving Resident #67 occurred. …
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