Based on staff interview and record review, the facility failed to ensure that all professional staff are licensed, certified, or registered in accordance with applicable State laws for 1 or 4 sampled licensed nurses (RN #1). Findings include: Per record review, Registered Nurse #1 (RN #1) worked at the facility as a Nurse Educator from 7/10/2023 through 8/18/2023. RN #1's employee records revealed an unencumbered license in the state of New Hampshire. There was no evidence that RN #1 had a license to practice as a nurse in the state of [NAME]. According to [NAME] State Licensing and Operating Rules for Nursing Homes, professional staff must be licensed, certified, or registered in accordance with applicable laws. …
F839 citations in Vermont
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Vermont cites F839 more often than its own record predicts
13.95 times the share F839 takes of citations nationally.
Of every deficiency written in Vermont in 2023, this is the portion that was F839.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F839 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.
What else Vermont surveyors cite →
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