Based on interviews and record review during the post-survey revisit from 06/24/2026 to 06/29/2026, the facility did not ensure an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use. Specifically, the Director of Nursing/Infection Preventionist was unable to provide documentation of facility antibiotic surveillance / line listing from 06/18/2026 through 06/25/2026. Findings include:During an interview on 06/25/2026 at 3:15 PM, the Director of Nursing stated they could not provide antibiotic surveillance/line list for the month of June 2026 for the facility. They stated the unit managers were responsible for the completion of the surveillance reports, and they did not receive reports for May or June 2026. …
F881 citations in New York
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 York cites F881 less often than its own record predicts
0.46 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 York surveyors wrote
F881 findings written in New York, 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 conducted during the Standard Survey completed on 6/14/18, the facility did not establish an Infection Prevention and Control Program (IPCP) that must include, at a minimum, an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use. Specifically, the facility did not implement an antibiotic stewardship program until (MONTH) 1, (YEAR). The finding is: Review of the facility policy entitled, Antibiotic Stewardship Program, dated 5/2018 revealed the facility would optimize the treatment of [REDACTED]. The Antibiotic Stewardship Program's main goal is to optimize the treatment of [REDACTED]. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.23× |
| 2024 | 0.32% | 0.70× |
| 2025 | 0.22% | 0.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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