Based on interview and record review, the facility failed to implement their policy related to Covid 19 vaccination and provide evidence that five out of five sampled staff members were offered a Covid 19 vaccination and consent obtained along with three out of five sampled residents (Resident #9, Resident #43, and Resident #53). Per review of the facility policy titled Coronavirus, Prevention, and Control dated 3/5/26, it states that all residents and staff members will be educated and offered a Covid 19 vaccine unless contraindicated or full immunization has been acquired. …
F887 citations in Vermont
COVID-19 vaccination · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F887 more often than its own record predicts
1.76 times the share F887 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F887.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F887 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 upon interview and record review, the facility failed to maintain documentation related to staff COVID-19 vaccination that includes at a minimum, the following: (A) That staff were provided education regarding the benefits and potential risks associated with COVID-19 vaccine; (B) Staff were offered the COVID-19 vaccine or information on obtaining COVID-19 vaccine; and (C) The COVID-19 vaccine status of staff and related information as indicated by the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN). Findings include: During the facility's Recertification Survey conducted 1/8 - 1/10/24, the facility was asked to provide documentation related to staff COVID-19 vaccination as required by Long Term Care federal regulations. …
The short window
Recent years
| Year | Share of Vermont citations | vs expected |
|---|---|---|
| 2024 | 1.59% | 5.57× |
| 2025 | 0.64% | 1.76× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Vermont surveyors cite →
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