Gill Odd Fellows Home of Vermont

In the surveyor’s words

From the most serious findings on record at Gill Odd Fellows Home of Vermont, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 25, 2026

  Based on observation and interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards of food service safety. Findings include:Per observation during the initial tour of the kitchen on 2/23/26 at 10:13 AM a 5-ounce box of cornbread muffin mix with an expiration date of 11/5/25, and a 5-ounce bag of tortilla strips with a date opened on 1/7/26 with no expiration date on the packaging, were identified in the dry storage area. In the freezer, there was a bag of 24 frozen fish sticks in a bag open to air, with no date on the package, as well as one bag containing 3 frozen pie crusts that was opened without an expiration/opened date. […]

• No harm, potential for more than minimal, widespreadF726Jan 24, 2024

  Based on record review and interview the facility failed to ensure that nursing staff were assessed for skills competency upon hire and annually, based on the care needs of the residents who reside in the facility. Findings include: Per review of employee training and competency records, nursing staff did not have evidence of annual skills competency evaluations. An employee record for a Registered Nurse (RN) who was hired on 11/20/23 had a Competency Checklist dated 12/7/23. This checklist lists various skills and offers instructions as follows: 1. Observe each skill below 2. Provide a Pass or fall rating 3. Place an N/A for any skill that doesn't applying current resident population. Any skill failed will need follow up. […]

• No harm, potential for more than minimal, widespreadF880Jan 11, 2023

  Based on Observations and interviews, the facility failed to develop and implement measures to prevent the growth of Legionella and other opportunistic waterborne pathogens in the buildings water system, as well as follow proper hand hygiene procedures during medication administration. Findings include: 1. Per observation of medication administration at approximately 11:30 AM on 1/10/2023, the Infection Prevention RN administering a mealtime injection of Novalog Insulin and two tablets of the oral medication Gabapentin did not perform hand hygiene (handwashing or alcohol-based rub) prior to donning gloves and entering a resident's room to administer the injection and tablets. Administration of the injection required direct contact with the resident. […]

• No harm, potential for more than minimal, patternF585Feb 25, 2026

  Based on observations and interviews the facility failed to provide a system that enables residents to file an anonymous grievance. Findings include:Per observation on 2/25/26 at approximately 9:20 AM a grievance procedure was posted outside the dining room in the lobby. The grievance posting did not contain information regarding how to file an anonymous grievance. The posting stated if a resident has a concern or complaint to speak with the grievance officer/ Social Service Director or the Director of Nursing and lists their phone numbers. There were no blank grievance forms or a drop box to submit grievance forms observed.Per interview on 2/25/26 at 10:06 AM the Social Worker confirmed that the residents file grievances with either the Social Worker or the Director of Nursing. […]

• No harm, potential for more than minimal, patternF880Feb 25, 2026

  Based on observation, interview, and record review, the facility failed to follow standard infection control practices during medication administration by not practicing appropriate hand hygiene during preparation and administration of medications and the presence of a staff member's personal drink on 1 of 2 medication carts. This is a repeat deficiency for this facility, with violations cited during the previous three re-certification surveys dated 1/11/23, 1/24/24, and 3/19/25. Findings include:During a medication administration observation on 2/24/2026 at 9:20 AM, a Registered Nurse (RN) put on gloves and poured medications into individual 30 cc (1oz) cups. He accessed the nurse's station refrigerator twice to obtain pudding to use for crushed medication administration. […]