Based on interview and record review, the facility failed to ensure that staff have infection prevention and control training that covers facility policy and procedures for 10 of 10 sampled direct care staff. Findings include:Per review of employee education files, 5 of 5 licensed nursing staff and 5 of 5 LNAs did not have documentation to demonstrate that they received infection control training, including training on the facility infection prevention and control policy and procedures, other than hand hygiene.Per interview on 7/29/25 at 2:40 PM, Registered Nurse #1 explained that she is an agency nurse and the only training that the facility provided was training on the electronic medical record training and an onboarding packet.Per interview on 7/30/25 at 10:32 AM, the Director of… …
F945 citations in Vermont
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Vermont cites F945 more often than its own record predicts
5.77 times the share F945 takes of citations nationally.
Of every deficiency written in Vermont in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F945 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.
What else Vermont surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction