Facility profile · CCN 056433
Vermont Healthcare Center
96 federal citations on record , and 5 federal enforcement actions totaling $159,066.
Record summary
Federal record · Q1 202696
Total citations
79
Last 3 years
6
Actual harm+
5
Federal penalties
$159,066
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
96 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 17, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Dec 17, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Oct 30, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Jul 31, 2025 | F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint |
| Jul 29, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint |
| Jul 29, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 17, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| May 1, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 26, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Mar 26, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint |
| Mar 14, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Mar 14, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| Mar 14, 2025 | F908 | Keep all essential equipment working safely. | E | Standard |
| Mar 14, 2025 | F881 | Implement a program that monitors antibiotic use. | D | Standard |
| Mar 14, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 14, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Mar 14, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Mar 14, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 14, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Mar 14, 2025 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Mar 14, 2025 | F760 | Ensure that residents are free from significant medication errors. | F | Standard |
| Mar 14, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 14, 2025 | F758 | Implement 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. | D | Standard |
| Mar 14, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| Mar 14, 2025 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Mar 14, 2025 | F732 | Post nurse staffing information every day. | D | Standard |
| Mar 14, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Mar 14, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 14, 2025 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| Mar 14, 2025 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Standard |
| Mar 14, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Mar 14, 2025 | F685 | Assist a resident in gaining access to vision and hearing services. | D | Standard |
| Mar 14, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Mar 14, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Mar 14, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 14, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Feb 5, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Feb 5, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 5, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Oct 17, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Sep 27, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Aug 29, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Jul 25, 2024 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| May 24, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| May 15, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| May 15, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Apr 30, 2024 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint |
| Apr 30, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 30, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Mar 8, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Mar 8, 2024 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Mar 8, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Mar 8, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard |
| Mar 8, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Mar 8, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Mar 8, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Mar 8, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Mar 8, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Standard |
| Mar 8, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Mar 8, 2024 | F688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard |
| Mar 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 8, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Mar 8, 2024 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| Mar 8, 2024 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| Mar 8, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Mar 8, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Jan 31, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 17, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Oct 3, 2023 | F626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint |
| Sep 8, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Sep 6, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Jul 27, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jun 21, 2023 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Jun 16, 2023 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| Jun 7, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Jun 1, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 17, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| May 17, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 5, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Apr 5, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Apr 5, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Apr 3, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Mar 28, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Feb 28, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Feb 28, 2022 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | D | Standard |
| Feb 28, 2022 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Feb 28, 2022 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Feb 28, 2022 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Feb 28, 2022 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Feb 28, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 28, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 28, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Feb 28, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Feb 28, 2022 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Feb 28, 2022 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $159,066 and 1 payment-denial actions spanning 33 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 30, 2025 | Fine | $47,740 | — |
| May 1, 2025 | Fine | $12,438 | — |
| Feb 5, 2025 | Fine | $72,036 | — |
| Feb 5, 2025 | Payment Denial | — | Mar 7, 2025 · 33 days |
| Mar 8, 2024 | Fine | $26,852 | — |
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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