of F883 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025688
Every F883 citation surveyors wrote nationally that year.
Facilities cited684
Distinct nursing homes with at least one F883 finding.
The harm level
How severely F883 is cited
0.3% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K10.0%
L10.0%
Actual harm
G70.2%
H10.0%
I—
No harm, potential for more than minimal
D2,02765.4%
E1,00732.5%
F351.1%
No harm, potential for minimal
A—
B110.4%
C90.3%
Every recorded F883 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F883 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.
K · Immediate jeopardy, patternJanuary 16, 2025
Based on interview and record review, the facility failed to prevent and control the spread of Influenza (flu, highly contagious, sometimes deadly respiratory infection [the invasion and growth of germs in the lungs and the airway, caused by the influenza virus) for 7 of 15 sampled residents (Residents 1, 2, 3, 4, 5, 6 and 7) during the current flu season (from 10/1/2024 to 3/31/2025) in according to the facility's policy and procedure (P&P) titled, Influenza Prevention and Control, by failing to:
1. …
Based on interview and record review, the facility failed to offer the influenza vaccine at the start of influenza season for two of nine residents (R40, R4) reviewed for Influenza Vaccines in the sample of 18. This failure contributed to the facility experiencing an Influenza Outbreak and the hospitalization of R40 and R4.
The findings include:
1. R40's Admission Record shows she was admitted to the facility on [DATE] with diagnoses including diabetes mellitus, anxiety disorder, major depressive disorder, bipolar disorder, and chronic pain.
R40's MDS (Minimum Data Set) dated December 23, 2024 shows she is cognitively intact.
R40's Progress Notes dated December 18, 2024 shows she was admitted to the local hospital with pneumonia and influenza A. …
D · No harm, potential for more than minimal, isolatedSeptember 10, 2026
Based on interview and document review, the facility failed to ensure 2 of 5 residents (R1 and R8) were offered and/or provided updated vaccination for pneumococcal disease, in accordance with Centers for Disease Control (CDC).Findings include: Review of the current, 10/26/24, Centers for Disease Control (CDC), Pneumococcal Vaccine Recommendations, located at https://www.cdc.gov/pneumococcal/hcp/vaccine-recommendations/index.html, identified based on shared clinical decision-making, adults 65 years or older have the option to get PCV20 or PCV21, or to not get additional pneumococcal vaccines. They can get PCV20 or PCV21 if they have received both the PCV13 (but not PCV15, PCV20, or PCV21) at any age and PPSV23 at or after the age of [AGE] years old. …
B · No harm, potential for minimal, patternMarch 3, 2026
Based on clinical record review, policy review and staff interviews, for 3 of 5 residents reviewed for immunizations (Residents #12, # 17, and # 57), the facility failed to ensure the residents' clinical records included documentation that the resident or representative was provided education related to the influenza vaccine. The findings included:1.Resident #12's diagnosis includes Multiple Sclerosis. An influenza immunization informed consent form dated 10/11/2024 identified Resident #12 consented to receive the influenza vaccine annually. The quarterly MDS assessment dated [DATE] indicated Resident #12 was cognitively intact. An immunization record with a date range of 10/1/2025 through 3/31/2026 identified on 10/23/2025, Resident #12 received an influenza vaccine to the right deltoid. …
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Provide or obtain dental services for each resident.
Cited in the same inspection, not caused by one another.
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