Based on record review, observation, and interview, the facility failed to have an antibiotic stewardship program (ASP), a program that monitors antibiotic usage and effectiveness. This failed practice had the potential, for all residents (based on a census of 21), to receive an ineffective and inaccurate implementation of antibiotic protocols for antibiotic use. Findings: Record review on 9/18-22/23 of the electronic health record (EHR) revealed Resident #13 was admitted to the facility with diagnoses that included bronchiectasis (a condition in which the airways of the lungs remain permanently damaged and widened due to persistent infection) and chronic obstructive pulmonary disease. …
F881 citations in Alaska
Antibiotic stewardship · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Alaska cites F881 more often than its own record predicts
1.58 times the share F881 takes of citations nationally.
Of every deficiency written in Alaska in 2023, this is the portion that was F881.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F881 findings written in Alaska, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
What else Alaska surveyors cite →
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