Based on observations and interviews during the recertification survey conducted 7/28/2025 - 8/1/2025, the facility did not ensure one qualified individual, who was not the Director of Nursing, was responsible for the facility's Infection Prevention Control Program. Specifically, the Assistant Director of Nursing was not qualified based on education, training, experience or certification to assume the role of Infection Preventionist and the Director of Nursing assumed those duties.Findings include: The undated facility policy Infection Surveillance, documented the Infection Preventionist served as the leader of surveillance activities, maintained documentation of incidents, findings, and any corrective actions regarding infection control. …
F882 citations in New York
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.
Against expectation — 2025
New York cites F882 more often than its own record predicts
1.41 times the share F882 takes of citations nationally.
Of every deficiency written in New York in 2025, this is the portion that was F882.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F882 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 interviews and record review conducted during the survey, the facility failed to designate one (1) or more individuals as the Infection Preventionist responsible for the facility's Infection Prevention Control Practices. Specifically, the facility did not have a designated Infection Preventionist qualified with specialized education, training, experience, or certification on a part time or fulltime basis. The findings include: The policy and procedure titled Infection Prevention Control Program dated 11/26/2024 documented the Infection Preventionist will oversee the implementation of the program in collaboration with the administrator and each department head in the facility. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 1.25× |
| 2024 | 0.25% | 1.20× |
| 2025 | 0.26% | 1.41× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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