Based on record review and interview, the facility failed to include mandatory training on compliance and ethics that outlines and informs staff of the standards, policies, and procedures through a training program or in another practical manner that explains the requirements under the program. Findings include: Per review of the training records of 7 sampled direct care staff members, none of the 7 staff members had any evidence of training on the Compliance and Ethics program: LNA (Licensed Nurse Aide) #1, hired 9/14/20; LNA #2, hired 4/21/21; LNA #3, hired 2/29/2016; LNA #4, hired 1/9/2019; RN ( Registered Nurse) #1, hired 6/3/2016; RN #2, hired 6/24/24; LPN( Licensed Practical Nurse) #1, hired 2/29/16 Per interview on 7/25/2024 at 2:47 PM with an LPN (Licensed Practical Nurse), s/he… …
F946 citations in Vermont
Administration Deficiencies
Provide training in compliance and ethics.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Vermont cites F946 more often than its own record predicts
6.90 times the share F946 takes of citations nationally.
Of every deficiency written in Vermont in 2024, this is the portion that was F946.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Vermont surveyors wrote
F946 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 →
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