3. Per record review Resident #9 has a urinary catheter and open pressure ulcers that require dressing changes. A care plan focus initiated on [DATE] reflects that the Resident requires the use of enhanced barrier precautions (EBP) related to indwelling device: Foley Catheter. Interventions initiated on [DATE] state use of face mask or eye protection if there is a risk of splash or spray and use of gloves and gown for high-contact care activities. A facility policy titled Enhanced Barrier Precautions states the Enhanced barrier Precautions require staff to wear a gown and gloves while performing high-contact care activities with all residents who are at higher risk of acquiring or spreading an MDRO [Multi-drug resistance organism]. 1. Enhanced barrier precautions will be applied to: . b. …
F880 citations in Vermont
Infection prevention and control · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F880 less often than its own record predicts
0.83 times the national share — cited less often here than elsewhere.
Of every deficiency written in Vermont in 2025, this is the portion that was F880.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F880 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.
Based on observation, interview, and record review, the facility failed to follow, maintain, implement their legionella water management plan and implement the use of personal protective equipment when required. This has the potential to impact all residents. This is a repeat deficiency for this facility, with the violation cited during a previous partial survey, dated 11/13/25. Findings include: 1. Review of the facility's Legionella Water Management Plan included an assessment to identify areas for Legionella spread and measures to prevent growth and how to monitor them. Per interview with the Maintenance Director on 6/17/26 at 10:30 AM and 1:09 PM, he was unable to provide evidence of measures to prevent Legionella growth put in place and how the facility was monitoring them. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2023 | 2.20% | 0.43× |
| 2024 | 3.81% | 0.68× |
| 2025 | 5.11% | 0.83× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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