Based on clinical record review and staff interview, the facility failed to establish an Infection Prevention and Control Program (IPCP) that must include, at a minimum, an antibiotic stewardship program which includes antibiotic use protocols and a system to monitor antibiotic use to ensure that residents who require an antibiotic, are prescribed the appropriate antibiotic for 5 of 5 residents reviewed for antibiotic use, Resident ID #s 6, 19, 29, 42 and 44. Findings are as follows:According to the Centers for Disease Control and Prevention document titled, The Core Elements of Antibiotic Stewardship for Nursing Homes states in part, Standardize the practices which should be applied during the care of any resident suspected of an infection or started on an antibiotic. …
F881 citations in Rhode Island
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
Rhode Island cites F881 more often than its own record predicts
2.88 times the share F881 takes of citations nationally.
Of every deficiency written in Rhode Island 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 Rhode Island surveyors wrote
F881 findings written in Rhode Island, 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 record review and staff interview, it has been determined that the facility failed to 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. Findings are as follows: Review of the antibiotic stewardship monthly records failed to reveal documentation of tracking information for the months of July, August, September, and October 2022. During a surveyor interview on 10/27/2022 at 10:20 AM with the Infection Control Nurse, she acknowledged that she had not begun tracking this information for September and October 2022. …
The short window
Recent years
| Year | Share of Rhode Island citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 2.05× |
| 2024 | 1.04% | 2.31× |
| 2025 | 1.39% | 2.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Rhode Island surveyors cite →
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