F880 · Infection prevention and control

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Data as of September 30, 2026, released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

1.3%

of F880 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.

Citations in 20256,703

Every F880 citation surveyors wrote nationally that year.

Facilities cited5,929

Distinct nursing homes with at least one F880 finding.

The harm level

How severely F880 is cited

1.3% of citations found actual harm or worse (level G and above).

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J680.3%	K1240.5%	L1020.4%
Actual harm	G140.1%	H120.0%	I10.0%
No harm, potential for more than minimal	D13,05451.2%	E8,52533.5%	F3,49813.7%
No harm, potential for minimal	A—	B370.1%	C400.2%

Every recorded F880 citation, by the harm level and scope the surveyor assigned.

In the surveyor’s words

What an F880 citation says

One finding from each severity level, most serious first.

Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.

L · Immediate jeopardy, widespreadAugust 24, 2026

Based on observation, record review, interview with staff and representatives from the local health department (LHD), and review of the facility water management plan, the facility failed to develop and implement an effective water management program to monitor control measures and to prevent the growth of Legionella in the water system. This resulted in Immediate Jeopardy and Actual Harm beginning on 07/27/26 when Resident #9, who demonstrated respiratory complications (i.e. shortness of breath and decreased oxygen saturation) tested positive for Legionella during a hospitalization. …

Country Lane Gardens Rehab & Nursing CTR · Ohio

G · Actual harm, isolatedJuly 28, 2026

Based on observation, interview and record review, the facility failed to prevent and limit the spread of a gastrointestinal (GI) illness and Norovirus (a virus causing acute GI outbreaks in long-term care facilities, resulting in symptoms such as nausea, vomiting, and diarrhea, which rapidly spread from person to person) by ensuring GI Contact Precaution(limiting direct or indirect contact with the resident or environment by wearing gown and gloves during resident care for residents requiring transmission based precautions and washing hands with soap and water) were followed for 23 of 34 (1, 2, 5, 6, 7, 8, 9, 11, 13, 15, 17, 18, 19, 20, 24, 25, 26, 27, 30, 31, 33, 35, and 36) residents reviewed for a GI or Norovirus illness. …

Shelton Health and Rehabilitation · Washington

E · No harm, potential for more than minimal, patternSeptember 17, 2026

Based on observation, interview and record review, the facility failed to use the required personal protective equipment (PPE) for 1 of 2 residents (R15) who required Enhanced Barrier Precautions (EBP) and failed to ensure sanitization of mechanical lifts were completed between resident use 1 of 2 residents (R91) reviewed who required mechanical lifts for mobility. Furthermore, the facility failed to ensure hand hygiene was completed for 1 of 1 residents (R8) observed during wound and personal cares. Finding include: EBP R15's quarterly Minimum Data Set, dated [DATE], indicated R15 was cognitively intact and required set up for eating and oral hygiene. R15 was dependent on staff for toilet transfers and lower body dressing and substantial assist for upper body dressing. …

Lyngblomsten Care Center · Minnesota

B · No harm, potential for minimal, patternAugust 7, 2026

Based on interview and record review, the facility failed to review its infection prevention and control program Policies and Procedures (P&P) at least annually.This deficient practice had the potential to result in facility staff not being updated with the current infection prevention and control practices.Findings:During a concurrent interview and record review on 8/5/2026 at 8:36 a.m., with the Infection Preventionist Nurse (IPN) 2, the facility's infection prevention and control program P&Ps were reviewed. IPN 2 stated the facility's infection prevention and control program P&Ps were last reviewed by the Quality Assurance and Performance Improvement (QAPI, a data driven proactive approach to improvement used to ensure services are meeting quality standards) committee in 2024. …

Hyde Park Healthcare Center · California

Co-occurrence

Cited alongside F880

Of the 2025 surveys that cited F880, these tags appeared in the same inspection more often than chance would predict.

F8815.8% of F880 surveys · 2.9× chance
Implement a program that monitors antibiotic use.
F8822.2% of F880 surveys · 2.9× chance
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F8132.0% of F880 surveys · 2.8× chance
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F9122.6% of F880 surveys · 2.7× chance
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F8874.0% of F880 surveys · 2.7× chance
Educate 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.

Cited in the same inspection, not caused by one another.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction

How severely F880 is cited

What an F880 citation says

Where F880 is cited more, and less, than expected

Cited alongside F880