Based on observations, record review and interviews, the facility failed to implement policies and procedures to ensure that annual influenza vaccination for one (#1) resident of six residents reviewed out of 39 sample residents.Specifically, the facility failed to:-Ensure Resident #1's representative was provided education regarding the benefits and potential side effects of influenza immunization; and,-Ensure Resident #1 was offered the influenza immunization.Findings include:I. Facility policy and procedure The Immunizations policy, revised September 2025, was provided by regional corporate resource #2 on 7/9/26 at 4:40 p.m. …
F883 citations in Colorado
Flu and pneumonia vaccines · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Colorado cites F883 less often than its own record predicts
0.71 times the national share — cited less often here than elsewhere.
Of every deficiency written in Colorado in 2025, this is the portion that was F883.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Colorado surveyors wrote
F883 findings written in Colorado, 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.
The short window
Recent years
| Year | Share of Colorado citations | vs expected |
|---|---|---|
| 2023 | 1.44% | 1.63× |
| 2024 | 0.90% | 1.18× |
| 2025 | 0.45% | 0.71× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Colorado surveyors cite →
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