Based on record review, observations, and interviews, the facility failed to provide substantial snacks at bedtime when there is more than14 hours between a substantial evening meal and breakfast the following day. This has the potential to impact all residents. Findings include: 1. Per review of the medical record for Resident #106, it revealed the resident has medical diagnosis that include end stage renal disease, dependence on renal dialysis, type 2 diabetes mellitus, anemia in chronic kidney disease, pulmonary hypertension, generalized edema, chronic obstructive pulmonary disease, insomnia, and chronic diastolic heart failure. …
F809 citations in Vermont
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F809 more often than its own record predicts
1.67 times the share F809 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F809.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F809 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.
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2024 | 0.32% | 1.49× |
| 2025 | 0.32% | 1.67× |
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