Based on staff interview and record review, the facility failed to establish an antibiotic stewardship program that includes antibiotic use protocols. Findings include: Per review of the facility's policy and procedure manual titled Infection Prevention and Control, it states the following: The Infection Prevention and Control Program includes: 4. an antibiotic use program that includes antibiotic use protocols and a system to monitor antibiotic use. Elements of the program include: - Antibiotic Stewardship and review including reviewing data to monitor the appropriate use of antibiotics in the resident population. …
F881 citations in Vermont
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Vermont cites F881 more often than its own record predicts
1.19 times the share F881 takes of citations nationally.
Of every deficiency written in Vermont in 2023, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F881 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 interview and review of the facility policies and procedures, the facility failed to develop a comprehensive antibiotic stewardship program. Findings include: Per review of the guidelines for the formation of an antibiotic stewardship program, the facility has not yet established a program that addresses the requirements that include antibiotic use protocols and a system to monitor antibiotic use. The Director of Nurses (DON) confirms this during interview on 8/29/2018.
What else Vermont surveyors cite →
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