Survey and Certification (S&C)
S&C surveys Health Care Facilities and Agencies to assure they are in compliance with Federal and State Regulations.
S&C employs Registered Nurses who travel statewide to hospitals, home health agencies, nursing homes, residential care homes, and a host of other health care providers to assess whether the care and services given to residents and patients meet Federal and State Regulations.
A report should be made to S&C if you feel that patients or residents have been harmed or may be harmed by the inappropriate practices of a healthcare organization. Organizations may be out of compliance with regulations, even if no staff members are intentionally or recklessly harming patients or residents.
Complaint/Incident: Optional Basic Reporting Form
CMS Facility-Reported Incident: Initial Reporting Form
CMS Facility Reported Incident: Follow-Up Investigation Reporting Form
There are four ways in which you can make a complaint:
- By Email: AHS.DAILSCIntake@vermont.gov **Preferred Method**
- By FAX: 1-802-241-0383
- Call Toll Free: 1-888-700-5330
When filing a complaint via telephone, please be prepared to:- Provide your name, telephone number, and address. However, anonymous complaints are accepted as well.
- Identify the name of the facility/provider being reported;
- Provide a detailed summary of concerns;
- Provide additional details as requested by the S&C staff.
- By US Mail:
Survey & Certification Complaint Intake
Division of Licensing and Protection
HC 2 SOUTH
280 State Drive
Waterbury, VT 05671-2060
*Messages left after normal business hours, (to include evenings, weekends and holidays) will be returned during regular business hours.