Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 475040

Green Mountain Nursing And Rehabilitation

29 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $161,106.

Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
29
Total citations
24
Last 3 years
3
Actual harm+
2
Federal penalties
$161,106
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care8 Care Planning5 Resident Rights4 Administration3 Medication & Pharmacy2

Most common F-tags at this facility

F6862 F6922 F8802 F8651 F9441

Citation history

29 on record
SurveyF-TagViolationSeveritySource
Jun 6, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.FComplaint
Jun 6, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.LComplaint
Jun 6, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint
Oct 22, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint
Oct 22, 2024F610Respond appropriately to all alleged violations.DComplaint
Oct 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 28, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FStandard
Mar 28, 2024F880Provide and implement an infection prevention and control program.DStandard
Mar 28, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Mar 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Mar 28, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Mar 28, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 28, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Mar 28, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Mar 28, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Mar 28, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Mar 28, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Mar 28, 2024F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.EStandard
Mar 28, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Mar 28, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Mar 28, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard
Mar 28, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.FStandard
Mar 28, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
Jan 26, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.CStandard
Jan 26, 2022F880Provide and implement an infection prevention and control program.FStandard
Jan 26, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard
Jan 26, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 26, 2022F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $161,106 .

DateTypeFinePayment denial
Jun 6, 2025Fine$128,362—
Mar 28, 2024Fine$32,744—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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