Based on interview and record review, the facility failed to ensure the staff member designated as the facility's Infection Preventions (IP) had obtained specialized Infection Prevention and Control training beyond initial professional training. This is a repeat deficiency for this facility, with violations cited during the previous two recertification surveys, dated [DATE] and [DATE]. As a result the facility failed to prevent spread of COVID-19 through mitigation strategies that would be directed by an infection preventionist, and 1 resident died from COVID-19 (Resident #7). The failure to designate a qualified infection preventionist has the potential to impact all residents who reside in the facility. …
F882 citations in Vermont
Infection preventionist · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F882 more often than its own record predicts
7.03 times the share F882 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F882.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F882 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 record review the facility failed to ensure that a infection preventionist was employed at least part time. Findings include: During an interview with the Registered Nurse (RN) identified as the Infection IP and the Director of Nursing (DON) on 7/29/25 at approximately 3:30 PM, they confirmed that the RN was covering as the IP and is an employee of another facility that is owned by the same owner. The IP stated that they are at the facility on an as-needed basis, about one day a week. When asked to describe the facilities IP Program the IP stated that she works with the Pharmacist and reviews antibiotic usage and ensures that antibiotic time outs are implemented. …
Based on staff interview and record review, the facility failed to ensure that the individual who has completed the specialized training in infection prevention and control oversees the facility's infection prevention and control program. Findings include: Per interview on 1/8/24 at approximately 10:30 AM, the DON (Director of Nursing) stated that the former IP (Infection Preventionist) was Nurse 1, who has since transitioned to work full time as the facility's wound nurse. While Nurse 1 is still kept up to date on the goings-on of the IPCP (infection prevention and control program), they are no longer overseeing the IPCP. The DON stated that they are taking primary accountability of ensuring all delegated IPCP tasks are being completed, along with the Administrator. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2024 | 0.32% | 1.55× |
| 2025 | 1.28% | 7.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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