Based on interview and record review the facility failed to meet the requirement for Payroll Based Journal (PBJ) data submission for the first quarter of the facility's fiscal year 2025, October-December 2024. Findings include: Per record review of the PBJ Data Report for the first quarter of the fiscal year 2025 provided by Centers for Medicare & Medicaid Services (CMS), the report identifies areas of concern specific to the facility. The concerns reported for the first quarter of the 2025 fiscal year were: failure to submit data for the first quarter, a one-star rating for staffing, excessively low weekend staffing, no registered nurse hours, and failure to have Licensed Nursing Coverage 24 Hours/Day. …
F851 citations in Vermont
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F851 more often than its own record predicts
1.47 times the share F851 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F851 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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