Based on interview and record review, the facility failed to implement their system for monitoring antibiotic use for 5 of 7 resident reviewed for antibiotic stewardship. (Resident identifiers are #6, #7, #35, #45 and #60.)Findings include:Review on 6/24/26 of the facility policy titled Antibiotic Stewardship Program, revised on 6/2025, revealed .iii. The facility uses .updated McGeer criteria.to define infections.Nursing will monitor the initiation of antibiotics on residents and conduct an antibiotic time out within 48-72 [hours] of antibiotic therapy to monitor the response to the antibiotic and review laboratory results and will consult with the practitioner to determine if the antibiotic is to continue or if adjustments need to be made based on the findings.Review on 6/24/26 of LOEB… …
F881 citations in New Hampshire
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
New Hampshire cites F881 more often than its own record predicts
3.74 times the share F881 takes of citations nationally.
Of every deficiency written in New Hampshire 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 New Hampshire surveyors wrote
F881 findings written in New Hampshire, 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 Interview and Record Review the facility failed to adequately document and follow their own policy to monitor antibiotic use. This could affect all residents prescribed antibiotics. Findings include: Record Review on 08/13/2020 of the facility policy entitled Antibiotic Stewardship - Review of Surveillance of Antibiotic Use and Outcomes dated 11/2017 states d) All resident antibiotic regimens will be documented on the facility-approved antibiotic surveillance tracking form. The information gathered will include: Name of antibiotic, Start Date of Antibiotic, pathogen identified, site of infection, date of culture, stop date, total days of therapy, outcome, and adverse events. …
The short window
Recent years
| Year | Share of New Hampshire citations | vs expected |
|---|---|---|
| 2023 | 0.82% | 1.77× |
| 2024 | 1.50% | 3.35× |
| 2025 | 1.80% | 3.74× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Hampshire surveyors cite →
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