State surveyors inspected 33 of Vermont's 33 nursing homes in the 12 months from August 2025 through July 2026 and cited 259 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F812, which CMS words as “procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards”, at 19 of those buildings (58%). 11 of the citations were immediate jeopardy, the most serious level CMS has.
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Vermont, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.
August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 1 | F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards | 20 | 19 (58%) |
| 2 | F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents | 19 | 16 (48%) |
| 3 | F880Provide and implement an infection prevention and control program | 18 | 16 (48%) |
| 4 | F761Ensure 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 | 17 | 16 (48%) |
| 5 | F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody | 15 | 12 (36%) |
| 6 | F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals | 11 | 11 (33%) |
| 7 | F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being | 9 | 9 (27%) |
| 8 | F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights | 9 | 8 (24%) |
| 9 | F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities | 9 | 7 (21%) |
| 10 | F584Honor 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 | 8 | 7 (21%) |
| 11 | F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured | 7 | 7 (21%) |
| 12 | F552Ensure that residents are fully informed and understand their health status, care and treatments | 6 | 6 (18%) |
| 13 | F578Honor 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 | 5 | 5 (15%) |
| 14 | F760Ensure that residents are free from significant medication errors | 5 | 5 (15%) |
| 15 | F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident | 4 | 4 (12%) |
| 16 | F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances | 4 | 4 (12%) |
| 17 | F610Respond appropriately to all alleged violations | 4 | 4 (12%) |
| 18 | F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies | 4 | 4 (12%) |
| 19 | F602Protect each resident from the wrongful use of the resident's belongings or money | 3 | 3 (9%) |
| 20 | F607Develop and implement policies and procedures to prevent abuse, neglect, and theft | 3 | 3 (9%) |
| 21 | F658Ensure services provided by the nursing facility meet professional standards of quality | 3 | 3 (9%) |
| 22 | F684Provide appropriate treatment and care according to orders, resident’s preferences and goals | 3 | 3 (9%) |
| 23 | F698Provide safe, appropriate dialysis care/services for a resident who requires such services | 3 | 3 (9%) |
| 24 | F699Provide care or services that was trauma informed and/or culturally competent | 3 | 3 (9%) |
| 25 | F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist | 3 | 3 (9%) |
| Rank | Tag | Citations | Buildings cited |
|---|---|---|---|
| 26 | F759Ensure medication error rates are not 5 percent or greater | 3 | 3 (9%) |
| 27 | F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician | 3 | 3 (9%) |
| 28 | F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status | 3 | 3 (9%) |
| 29 | F919Make sure that a working call system is available in each resident's bathroom and bathing area | 3 | 3 (9%) |
| 30 | F558Reasonably accommodate the needs and preferences of each resident | 2 | 2 (6%) |
| 31 | F583Keep residents' personal and medical records private and confidential | 2 | 2 (6%) |
| 32 | F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment | 2 | 2 (6%) |
| 33 | F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function | 2 | 2 (6%) |
| 34 | F645PASARR screening for Mental disorders or Intellectual Disabilities | 2 | 2 (6%) |
| 35 | F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | 2 | 2 (6%) |
| 36 | F677Provide care and assistance to perform activities of daily living for any resident who is unable | 2 | 2 (6%) |
| 37 | F686Provide appropriate pressure ulcer care and prevent new ulcers from developing | 2 | 2 (6%) |
| 38 | F692Provide enough food/fluids to maintain a resident's health | 2 | 2 (6%) |
| 39 | F730Observe each nurse aide's job performance and give regular training | 2 | 2 (6%) |
| 40 | F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results | 2 | 2 (6%) |
| 41 | F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention | 2 | 2 (6%) |
| 42 | F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility | 2 | 1 (3%) |
| 43 | F554Allow residents to self-administer drugs if determined clinically appropriate | 1 | 1 (3%) |
| 44 | F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice | 1 | 1 (3%) |
| 45 | F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies | 1 | 1 (3%) |
| 46 | F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered | 1 | 1 (3%) |
| 47 | F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted | 1 | 1 (3%) |
| 48 | F641Ensure each resident receives an accurate assessment | 1 | 1 (3%) |
| 49 | F659Provide care by qualified persons according to each resident's written plan of care | 1 | 1 (3%) |
| 50 | F687Provide appropriate foot care | 1 | 1 (3%) |
| 51 | F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections | 1 | 1 (3%) |
| 52 | F695Provide safe and appropriate respiratory care for a resident when needed | 1 | 1 (3%) |
| 53 | F697Provide safe, appropriate pain management for a resident who requires such services | 1 | 1 (3%) |
| 54 | F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care | 1 | 1 (3%) |
| 55 | F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit | 1 | 1 (3%) |
| 56 | F712Ensure that the resident and his/her doctor meet face-to-face at all required visits | 1 | 1 (3%) |
| 57 | F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining | 1 | 1 (3%) |
| 58 | F742Provide 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 | 1 | 1 (3%) |
| 59 | F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia | 1 | 1 (3%) |
| 60 | F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures | 1 | 1 (3%) |
| 61 | F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs | 1 | 1 (3%) |
| 62 | F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature | 1 | 1 (3%) |
| 63 | F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times | 1 | 1 (3%) |
| 64 | F810Provide special eating equipment and utensils for residents who need them and appropriate assistance | 1 | 1 (3%) |
| 65 | F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards | 1 | 1 (3%) |
| 66 | F865Have a plan that describes the process for conducting QAPI and QAA activities | 1 | 1 (3%) |
| 67 | F883Develop and implement policies and procedures for flu and pneumonia vaccinations | 1 | 1 (3%) |
| 68 | F923Have enough outside ventilation via a window or mechanical ventilation, or both | 1 | 1 (3%) |
A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.
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