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Most Recent Serious Deficiencies in Vermont
Serious deficiencies are those that caused immediate jeopardy to resident health or safety. The 30 most recent serious deficiencies are shown. To see all recent serious deficiencies, use the Advanced Report Search.
Dec 9, 2025 — Brattleboro, VT

Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Dec 9, 2025 — Brattleboro, VT

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Dec 9, 2025 — Brattleboro, VT

Failure to: Make sure that a working call system is available in each resident's bathroom and bathing area.
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Nov 19, 2025 — Springfield, VT

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Nov 19, 2025 — Springfield, VT

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Nov 19, 2025 — Springfield, VT

Failure to: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
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Nov 19, 2025 — Springfield, VT

Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Jul 24, 2025 — Saint Johnsbury, VT

Failure to: Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
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Jul 24, 2025 — Saint Johnsbury, VT

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Jul 22, 2025 — Saint Albans, VT

Failure to: Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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Jul 22, 2025 — Saint Albans, VT

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Jun 6, 2025 — Colchester, VT

Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Jun 6, 2025 — Colchester, VT

Failure to: Have a plan that describes the process for conducting QAPI and QAA activities.
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May 28, 2025 — Saint Johnsbury, VT

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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May 28, 2025 — Saint Johnsbury, VT

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.
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May 8, 2025 — Barre, VT

Failure to: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Mar 25, 2025 — Bennington, VT

Failure to: 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.
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Mar 25, 2025 — Bennington, VT

Failure to: Ensure services provided by the nursing facility meet professional standards of quality.
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Mar 3, 2025 — Springfield, VT

Failure to: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Mar 3, 2025 — Springfield, VT

Failure to: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Mar 3, 2025 — Springfield, VT

Failure to: Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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Mar 3, 2025 — Springfield, VT

Failure to: Provide and implement an infection prevention and control program.
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Mar 3, 2025 — Springfield, VT

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Dec 16, 2024 — Morrisville, VT

Failure to: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Dec 16, 2024 — Morrisville, VT

Failure to: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Sep 3, 2024 — Burlington, VT

Failure to: Provide and implement an infection prevention and control program.
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Dec 4, 2023 — Vernon, VT

Failure to: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Oct 14, 2022 — Bennington, VT

Failure to: 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.
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Oct 14, 2022 — Bennington, VT

Failure to: Provide and implement an infection prevention and control program.
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