Based on interview, record review and policy review, the facility failed to ensure residents were assessed for influenza and pneumococcal vaccination status and offered and/or provided indicated vaccines, or that refusal, contraindication, or prior vaccination status was documented, for 1 of 5 residents (Resident (R) 19) reviewed for vaccinations. This failure had the potential to increase the risk for R19 to contract influenza and/or pneumococcal disease and experience adverse health outcomes. Findings include:Review of R19's undated Patient Data located in the Electronic Medical Record (EMR), revealed the resident was admitted to the facility on [DATE] and was over the age of 65 at the time of admission. …
F883 citations in Guam
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 — 2023
Guam cites F883 more often than its own record predicts
6.67 times the share F883 takes of citations nationally.
Of every deficiency written in Guam in 2023, 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 Guam surveyors wrote
F883 findings written in Guam, 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.
What else Guam surveyors cite →
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