F868 in Vermont. Pick another state for the same tag.
Against expectation — 2023
Vermont cites F868 more often than its own record predicts
Versus expected share2.15×
2.15 times the share F868 takes of citations nationally.
Share of Vermont citations0.55%
Of every deficiency written in Vermont in 2023, this is the portion that was F868.
Vermont0.55%
National0.26%
Share of all citations that were F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F868 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.
K · Immediate jeopardy, patternJanuary 3, 2018
Based on observations, review of records, and staff interview, the facility Quality Assurance Committee failed to put in place a plan to ensure that hot water temperatures did not exceed 120 degrees F. These elevated hot water temperatures affect the safety of residents, staff and visitors. During the last recertification survey in July 2017, the facility was cited for accident hazards related to elevated hot water temperatures. The findings during this investigation are as follows:
Per inspection of water temperature logs conducted by the Maintenance Department, dating back to 11/20/17, there have been forty-three (43) instances when water temperatures registered as high as 144.9 degrees F. …
F · No harm, potential for more than minimal, widespreadFebruary 15, 2023
Based on interview and review of documentation, the facility failed to maintain the position of a Medical Director as part of the Quality Assurance Performance and Improvement (QAPI) committee.
Findings include:
On 02/15/23 review of the facility's documentation of Quality Assurance Performance and Improvement (QAPI) meeting agenda and staff attendee signature sheets, reveal the presence of a medical director's participation at meetings for the following dates: April 2022, July 2022, and October 2022 on a quarterly bases, however there is no proof of attendance at a meeting held on January 17, 2022. The next quarterly meeting is due to be held in April 2023. …
C · No harm, potential for minimal, widespreadApril 5, 2023
Based on interview and review of limited Quality Assurance and Performance Improvement (QAPI) program documentation, the facility did not hold consistent quarterly meetings and without all the proper attendees to address all systems of care in a comprehensive manner by identifying problems and opportunities for improvement.
Findings include:
On 04/05/23 at 10:30 am an interview with the administrator of [NAME] Air Center, reveals verbal confirmation that the facility tried to hold regular monthly Virtual QAPI meetings over the past year as it has been difficult to have in person meetings, due to COVID, staffing issues and changes with medical directors. The nurse practitioner, physician and pharmacist do not always attend, but does report monthly. …
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