Based on record review, facility policy and procedures review, and staff interview the facility failed to follow their policies and procedures and neglected to provide the influenza (flu) vaccine in a timely manner to 33 of 43 residents who requested the flu administration, which resulted in 3 (Resident #99, #14, #45) unnecessary hospitalization s due to the flu virus. The facility failed to order the flu vaccine in a timely manner. The facility failed to notify the Medical Director when the residents did not receive the flu vaccine. The facility did not develop a plan of action to ensure the timely vaccination of the residents. The facility failed to implement measures to protect the residents who cannot receive the flu vaccine. …
F883 citations in Florida
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
Florida cites F883 less often than its own record predicts
0.72 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida 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 Florida surveyors wrote
F883 findings written in Florida, 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 interview and record review the facility failed to ensure the residents' health record showed the residents either received the pneumococcal immunization for 1 of 5 residents, Resident #43 reviewed for immunization.Findings include:Review of Resident #43's vaccination records showed a pneumococcal immunization consent signed on 8/25/2025 accepting to receive the pneumococcal vaccine.Review of Resident #43's immunization report did not document Resident #43 was administered a pneumococcal vaccine.During an interview on 7/16/2026 at 1:21 PM the Director of Nursing stated, [Resident #43's name] did not receive the pneumococcal vaccination.Review of the policy and procedure titled, Pneumococcal Vaccine with a last review date of 1/20/2026 read, Policy Statement. …
Based on record review and interview, the facility failed to ensure documented evidence of the provision of the influenza vaccine for 4 of 5 sampled residents, was maintained in the medical record (Residents #8, #11, #12 and #14). The findings included: Review of the records revealed Resident #8 consented to receive the influenza vaccine on 10/22/22, Resident #11 consented on 10/27/22, Resident #12 consented on 10/27/22, and Resident #14 consented on 10/25/22. Further review of these records lacked any evidence of the provision of the influenza vaccine to the four residents. The Director of Nursing (DON), who was also the Infection Control Preventionist (ICP), was asked to locate and provide evidence of the provision of the influenza vaccine to the four residents. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.66% | 0.74× |
| 2024 | 0.33% | 0.43× |
| 2025 | 0.46% | 0.72× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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