Based on observation, interview, medical record review, facility document review, and facility P&P review, the facility failed to ensure appropriate antibiotic stewardship practices were followed for two nonsampled residents (Residents 66 and 67). * The facility failed to notify the physician to reevaluate the antibiotic usage when Resident 66 and 67's suspected infections did not meet the McGeer's criteria. These failures had the potential for unnecessary antibiotic treatment, exposing the residents to avoidable risks including adverse drug reactions and the development of multidrug resistant organisms (MDROs). …
F881 citations in California
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 — 2025
California cites F881 more often than its own record predicts
1.30 times the share F881 takes of citations nationally.
Of every deficiency written in California in 2025, 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 California surveyors wrote
F881 findings written in California, 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.
Based on observation, interview, and record review, the facility failed to ensure an active, ongoing antibiotic stewardship program (ASP - promote appropriate use of antibiotics while optimizing the treatment of infections, and reduce possible adverse events associated with antibiotic use) with monitoring, tracking, reviewing antibiotic use, and implementing interventions to promote appropriate antibiotic prescribing for the 13 sampled residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 8, Resident 9, Resident 21, Resident 26, Resident 31, Resident 33, Resident 36, and Resident 37).This failure has the potential to result in residents receiving unnecessary or inappropriate antibiotics, delayed identification of antimicrobial resistance (bacteria stop responding… …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.56% | 1.22× |
| 2024 | 0.50% | 1.13× |
| 2025 | 0.63% | 1.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California surveyors cite →
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