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In the state of Vermont, VPCH is a 25-bed, acute care hospital that offers patient areas designed for comfort, dignity, and safety. As listed on their website, VPCH's "Mission: The Vermont Psychiatric Care Hospital provides excellent care and treatment in a recovery-oriented, safe and respectful environment which promotes empowerment, hope and quality of life for the individuals it serves." (Vermont Psychiatric Care Hospital, 2025). As a deemed hospital, VPCH was at risk of losing their CMS support if findings are not remediated. Significant non-compliance with a CMS Condition of Participation can lead to the initiation of a termination process. The deficiencies noted in the survey need to be corrected within the timeframe outlined in the plan of correction. CMS may impose enforcement actions, such as civil monetary penalties, suspension of payments, or even termination of the provider agreement. As part of the state of Vermont's licensing requirements, hospitals must be in good standing with CMS. For VPCH, an Element of Standard Compliance (ESC) was required to be submitted to TJC for each finding, including those that were condition level findings within 60 days. The Vermont Department of Health, Division of Licensing and Protection is responsible for the CMS follow-up survey.
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