Based on interviews and record review, the facility failed to appoint an administrator licensed by the state to be responsible for managing the facility. This has the potential to negatively impact all residents. Findings include: Per facility policy titled Governing Body, implemented on 5/2022, states The governing body will appoint an administrator who is: a. Licensed by the state where required b. Responsible for the management of the facility. c. Reports to and is accountable to the governing body. Per interview on 1/22/25 at approximately 11:00 AM with the Chief Nursing Officer (CNO), s/he explained that the Interim Administrator left their role on 1/5/25 and a new Administrator resumed the position on 1/6/25 through 1/9/25. …
F837 citations in Vermont
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F837 more often than its own record predicts
5.87 times the share F837 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F837 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 |
|---|---|---|
| 2023 | 0.55% | 7.44× |
| 2024 | 0.32% | 3.48× |
| 2025 | 0.32% | 5.87× |
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