Based on record review and interview, the facility failed to provide education for five of five residents (Resident (R) 1, R3, R4, R7 and R13) or their representative, reviewed for influenza immunizations, regarding the risks and benefits and potential side effects of influenza immunization before offering the influenza immunization and obtaining consent or declination from the resident or their representative. This deficient practice puts all residents at risk of not being fully informed about their risks and benefits and potential side effects of receiving or declining the influenza immunization.Findings Include:On 05/12/26 at 02:53 PM, record review was conducted for R1, R3, R4, R7 and R13 to assure each resident received or declined their annual influenza vaccination for 2025. …
F883 citations in Hawaii
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 — 2024
Hawaii cites F883 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2024, 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 Hawaii surveyors wrote
F883 findings written in Hawaii, 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 Hawaii citations | vs expected |
|---|---|---|
| 2023 | 1.48% | 1.68× |
| 2024 | 0.66% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii 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