Vermont
- Grounds stated in the sources
- Rule 3.14 b. of the Licensing and Operating Rules for Nursing Homes (revision date June 1, 2018): "The facility must permit each resident to remain in the room or in the facility, and not transfer or discharge the resident from the facility, unless:" — "the transfer or discharge is necessary for the resident’s welfare and the resident’s needs cannot be met in the facility;" "the transfer or discharge is appropriate because the resident’s health has improved sufficiently so the resident no longer needs the services provided by the facility;" "the health or safety of individuals in the facility is endangered;" "the resident has failed, after reasonable and appropriate notice, to pay for (or to have paid under Medicare or Medicaid) a stay at the facility." "the facility ceases to operate; or" "the transfer or discharge is ordered by a court." The statute states the list differently: under 33 V.S.A. § 7301(2)(D) each resident "Is transferred or discharged only for medical reasons, or for the resident’s welfare or that of other residents, or for nonpayment of the resident’s stay (except as prohibited by Title XVIII or XIX of the Social Security Act)" — three bases in the statute, six in the rule, both current.
- Notice stated in the sources
- Rule 3.14 d.1.: the facility must "notify the resident and, if known, a family member or legal representative of the resident, of the proposed transfer or discharge and reasons for the move. The notice shall be in writing and in a language and manner they understand, and shall be given at least 72 hours before a transfer within the facility and 30 days before the discharge from the facility." The notice "shall be on a form provided by the licensing agency or one that is substantially similar" and must include "the reason for transfer or discharge;" "the effective date of transfer or discharge;" "the location to which the resident is being transferred or discharged;" "a statement in large print or large point type that the resident has the right to appeal the facility’s decision to transfer or discharge to the State" "the name, address and telephone number of the State Long Term Care Ombudsman;" and "a statement that the resident may remain in place pending the appeal;" (rule 3.14 e.). Rule 3.14 l. states the circumstances in which "An emergency discharge or transfer may be made with less than thirty (30) days’ notice". The statute's own notice sentence, § 7301(2)(D): "Residents shall be notified in writing of the proposed transfer or discharge and reasons for it at least 72 hours before a transfer within the facility and 30 days before a discharge from the facility."
- Hearing office in these sources
- Two stages, both published by the rule. First, rule 3.14 i.: "To appeal the decision to transfer or discharge, the resident must notify the administrator of the facility or the director of the licensing agency." "The request to appeal the decision may be oral or written and must be made within 10 business days of the receipt of the notice by the resident." "The director of the licensing agency will render a decision within eight business days of receipt of the notice of appeal." The Division's own sample notice names that recipient: "State Survey Agency Director, Suzanne Leavitt" "Division of Licensing & Protection" "HC 2 South 280 State Drive" "Waterbury, VT 05671-2060" "Telephone: (802) 241-0480" "Email: surveyandcertification@vermont.gov" and states "The State does not use a formal appeal form or require a formal appeal hearing request." Second, rule 3.14 i.6.: "The resident or the facility will have 10 business days to file a request for an appeal with the Human Services Board by writing to the Board. The Human Services Board will conduct a de novo evidentiary hearing in accordance with 3 V.S.A. §3091." The Board's own page: "Human Services Board" "6 Baldwin Street, Suite 305" "Montpelier, VT 05633-4302" "Email: contact.hsb@vermont.gov." "Telephone:" "(802) 828-2536". The Division's page prints its general number as "(802) 241-0344"; the sample notice prints "(802) 241-0480" for the appeal. Both are shown as published.
- Ombudsman in these sources
- The program's own page, published by Vermont Legal Aid: "Call us at 1-800-889-2047 ext. 3 or fill out our online form. We will do our best to get back to you within three business days." The department's page states the arrangement — "DAIL contracts with Vermont Legal Aid to operate the Office of the State Long Term Care Ombudsman Program (SLTCOP)." — and prints "CALL: 800-889-2047". The rule requires the facility's notice to carry "the name, address and telephone number of the State Long Term Care Ombudsman;" (rule 3.14 e.5.), and the statute requires it to "include the address and phone number of the area ombudsman" (§ 7301(2)(D)).
- Sources last checked
- Sep 4, 2026
Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.
Lede
This page assembles what Vermont's own publishers state about involuntary transfer and discharge from a nursing home. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. The fullest single source is the Licensing and Operating Rules for Nursing Homes, published by the Department of Disabilities, Aging and Independent Living with a revision date of June 1, 2018, whose section 3.14 states the grounds, the notice and its required contents, the emergency exceptions, and a two-stage appeal, and whose section 3.12 states a bed-hold and right of return. Vermont's own vocabulary is transfer or discharge, with transfer also used for a move within the facility; the statute, 33 V.S.A. § 7301, calls its list the Nursing Home Residents’ Bill of Rights.
Three publishers hold the pieces. The Department of Disabilities, Aging and Independent Living writes the rule and, through its Division of Licensing and Protection, receives and decides the first-stage appeal and publishes the sample notice. The Human Services Board, a panel within the Agency of Human Services, hears the second stage. The State Long-Term Care Ombudsman is operated under contract by Vermont Legal Aid, which publishes the program's contact on its own site. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on the federal page; nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.
Source map
| Document | Publisher and location | Source's own date | Retrieved |
|---|---|---|---|
| 33 V.S.A. chapter 73, Nursing Home Residents’ Bill of Rights (§§ 7301–7306) | Vermont General Assembly, Vermont Statutes Online | § 7301 last amended 2021, No. 105 (Adj. Sess.), § 627, eff. July 1, 2022 | 2026-09-04 |
| Licensing and Operating Rules for Nursing Homes (PDF) | Department of Disabilities, Aging and Independent Living | Revision date: June 1, 2018 | 2026-09-04 |
| Nursing Home Sample Discharge-Transfer Notice (page) | Division of Licensing and Protection | Tuesday, April 23, 2019 - 12:00 | 2026-09-04 |
| Nursing Home Transfer/Discharge Letter, sample notice (PDF) | Division of Licensing and Protection | none stated in the document; posted April 23, 2019 | 2026-09-04 |
| Human Services Board | Agency of Human Services | none stated on page | 2026-09-04 |
| State Long-Term Care Ombudsman Program | Adult Services Division, Department of Disabilities, Aging and Independent Living | none stated on page | 2026-09-04 |
| Vermont Long-Term Care Ombudsman Project | Vermont Legal Aid | none stated on page | 2026-09-04 |
Captured: all seven, in tools/packets/vermont-packet.txt. Pending: the Human Services Board's Fair Hearing Rules and its fair hearing request form (linked from the Board's page, not yet captured); any current Department of Vermont Health Access statement of Medicaid payment for held beds (see finding 5); the Division's complaint and survey pages beyond the sample-notice page.
Change log
2026-09-04 — Baseline page built from the first Vermont packet: docket, lede, source map, change log. Not yet captured or written: section 01 (the grounds, as Vermont describes them) and section 02 (the published process, including the notice's required contents in full, bed-hold and return, and the notice-periods register). Transports: every source was fetched by curl with a browser user-agent through the state's capture recipe (tools/recipes/vermont.json); the two PDFs were read with pdftotext in layout mode, the five pages by tag-stripping the body. No browser or session-fetch transport was needed. Findings: (1) The rule and the statute state the grounds differently within current Vermont law. Rule 3.14 b. lists six circumstances; 33 V.S.A. § 7301(2)(D) states three — medical reasons, the resident's welfare or that of other residents, and nonpayment. Both are quoted as published and neither is reconciled here. (2) The statute and the rule route the appeal differently. § 7301(2)(D) says the notice "shall explain the resident’s right to appeal the proposed action under the facility’s grievance procedure"; rule 3.14 i. sends the appeal to the facility's administrator or to the director of the licensing agency, with a second stage before the Human Services Board. Both are quoted; the Division's sample notice follows the rule. (3) The Division's two published telephone numbers differ by page: its contact block prints (802) 241-0344; its sample notice prints (802) 241-0480 for the appeal and the rule's own cover prints the same 241-0480. Shown as published. (4) The department's ombudsman page and the program's own page do not print the same contact: the department prints a bare number and its own division's address; Vermont Legal Aid prints the number with an extension and no address. Both are shown. (5) On bed-hold, the licensing rule itself states a period — rule 3.12 b. gives a right to retain the bed "while absent from the facility due to hospitalization or therapeutic leave, provided such absence does not exceed ten successive days" — so this is not an absence. What was searched for and not found is a current Medicaid-payment statement: the Department of Vermont Health Access's current General Provider Manual, General Billing and Forms Manual and Nursing Facility Provider Manual, all reached through the department's manuals index at vtmedicaid.com on 2026-09-04, carry no hold-bed section; an older Vermont Medicaid Provider Manual dated 2/1/2019, still served at the same host but no longer listed in that index, carries one. It was not captured, because it is not the newest the department publishes, and nothing here relies on it. (6) The sample notice's first line disclaims it as "only a guide/helpful tool"; it is quoted for the contact it prints and for its own statement that the State uses no formal appeal form, not as a statement of the rule. Capture pending: per the source map. Internet Archive: not yet submitted. Reviewer: Carrie Schluter, reviewed 2026-09-04. Corrections: hello@fieldassembly.net.