Based on observations, interviews, and document review, the facility failed to designate a qualified infection preventionist (IP) to develop, implement, and monitor the facility's infection prevention program. This has the potential to affect all 70 residents residing at the facility.The facility failed to monitor residents and staff with signs and symptoms of an acute respiratory illness and protect residents and staff from contracting an acute respiratory illness during a concurrent outbreak of influenza, RSV and COVID in January 2026 The facility's failure to have an infection preventionist who developed, implemented and monitored infectious illnesses placed 70 of 70 residents and facility staff at risk for development of an infectious illness which could result in serious harm and/or… …
F882 · Infection preventionist
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F882 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F882 finding.
The harm level
How severely F882 is cited
0.7% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L50.6% |
| Actual harm | G10.1% | H— | I— |
| No harm, potential for more than minimal | D16318.6% | E13915.9% | F53561.1% |
| No harm, potential for minimal | A— | B20.2% | C313.5% |
In the surveyor’s words
What an F882 citation says
One finding from each severity level, 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 ensure the staff member designated as the facility's Infection Preventions (IP) had obtained specialized Infection Prevention and Control training beyond initial professional training. This is a repeat deficiency for this facility, with violations cited during the previous two recertification surveys, dated [DATE] and [DATE]. As a result the facility failed to prevent spread of COVID-19 through mitigation strategies that would be directed by an infection preventionist, and 1 resident died from COVID-19 (Resident #7). The failure to designate a qualified infection preventionist has the potential to impact all residents who reside in the facility. …
Based on interview, job description review, and policy review, the provider failed to ensure they had a designated qualified infection preventionist (IP) onsite who was responsible for the facility's infection prevention and control program and activities to prevent and control infections. Findings include:1. Interview on 9/1/26 at 9:06 a.m. with administrator A revealed there was no designated IP employed at the facility. She stated the previous IP was licensed practical nurse (LPN) D stepped down from the position in June 2026. 2. Interview on 9/3/26 at 3:40 p.m. …
Based on interview and record review, the facility failed to ensure the designated infection preventionist had completed specialized training in infection prevention. The failure placed residents at risk for inconsistent infection prevention and control practices due to the lack of specialized training for the infection preventionist. Findings include:During an interview on 4/21/26 at 9:50 a.m., staff member C stated staff member D was the facility's infection preventionist. Staff member C stated staff member D had completed infection preventionist coursework in 2021 but was unable to retrieve a certificate of completion from the CDC (Centers for Disease Control and Prevention) website.During an interview on 4/22/26 at 11:45 a.m., staff member D stated she worked in infection control since… …
By state — 2025
Where F882 is cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
- California0.87× · 25 citations
Co-occurrence
Cited alongside F882
Of the 2025 surveys that cited F882, these tags appeared in the same inspection more often than chance would predict.
- F86815.7% of F882 surveys · 16.4× chance
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- F88127.9% of F882 surveys · 14.0× chance
Implement a program that monitors antibiotic use.
- F88317.3% of F882 surveys · 6.6× chance
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- F75615.2% of F882 surveys · 4.6× chance
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- F65725.4% of F882 surveys · 3.3× chance
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Cited in the same inspection, not caused by one another.
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