Based on staff interview, record review, review of the facility policy titled, Pneumococcal Vaccine (Series), and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to offer one of seven residents (Residents (R) 74) reviewed for flu/pneumonia vaccinations and/or their representatives, the opportunity for the residents to be vaccinated in accordance with nationally recognized standards. This deficient practice had the potential to increase the risk for residents to contract pneumonia. Findings include: Review of R74's electronic medical record admission Record indicated that the facility admitted the resident on 08/14/2022. …
F883 citations in Georgia
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
Georgia cites F883 more often than its own record predicts
1.26 times the share F883 takes of citations nationally.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F883 findings written in Georgia, 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 record review, review of the facility policy titled Standing Orders for Influenza Vaccine Protocol, and staff interview, the facility failed to provide documented evidence that education/information was provided to residents prior to being offered the flu or pneumonia vaccine for five residents (R) (#800, #801, #112, #113, and #114) of 13 sampled residents. Findings include: Review of the clinical record revealed R#800 was admitted to the facility on [DATE]. It was documented in the clinical record that the patient/caregiver refused the flu vaccine. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.43% | 0.48× |
| 2024 | 0.81% | 1.06× |
| 2025 | 0.80% | 1.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction