Based on review of infection control documentation and staff interview, it was determined that the facility failed to have one or more individuals serving as the Infection Preventionist, responsible for the facility's infection prevention plan during an outbreak of Covid-19. This failure resulted in the actual harm of eight of 17 unvaccinated residents becoming positive with COVID-19 (Resident R5, R11, R13, R14, R17, R21, R22, and R30). Review of the Centers for Disease Control (CDC) guidance Interim Infection Prevention and Control Recommendations to Prevent [CONDITION(S)]-CoV-2 Spread in Nursing Homes dated 2/2/22, indicated facilities should assign one or more individuals with training in infection prevention and control (IPC) to provide on-site management of the IPC program. …
F882 citations in Pennsylvania
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
Pennsylvania cites F882 more often than its own record predicts
1.08 times the share F882 takes of citations nationally.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F882 findings written in Pennsylvania, 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 review of facility policy and staff interview, it was determined the facility failed to designate a qualified individual(s) onsite, who is responsible for implementing programs and activities to prevent and control infections for two periods during the time frame from June 2025, through May 2026 (11/12/25 - 11/24/25, and 4/26/26 - 5/20/26).Findings include: Review of the facility policy Infection Preventionist dated 4/30/26, indicated the infection preventionist (IP) coordinates the development and monitoring of the infection prevention and control program. The IP is employed on site and at least part time. …
Based on review of facility records and staff interviews, it was determined that the facility failed to ensure the designated Infection Preventionist (IP) attended the Infection Control Committee meetings and works at the facility focusing only on infection control at least part-time as required. Findings include: Review of facility documentation identified that the Director of Nursing (DON) fulfilled the job of the IP from November 2023 through May 2024. The DON works full-time and was unable to provide proof that additional part-time hours focusing only on infection control were completed in addition to his/her full-time DON duties. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.27× |
| 2024 | 0.34% | 1.65× |
| 2025 | 0.20% | 1.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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