Based on policy review, CDC guidelines, record review, and staff interview, it was determined the facility failed to ensure immunizations were offered and/or provided as indicated. This was true for 2 of 5 residents (#2 and #13) reviewed for pneumococcal immunization. This deficient practice placed residents at risk of developing pneumococcal pneumonia and developing serious, potentially life-threatening complications. Findings include:The CDC webpage titled, Pneumococcal Vaccination accessed on 6/25/26, documented there are two types of pneumococcal vaccines. They are Pneumococcal conjugated vaccines (PCV) and Pneumococcal polysaccharide vaccine. The CDC recommended pneumococcal vaccination for:-All adults 50 years or older.-Adults 10 through [AGE] years old with certain risk conditions. …
F883 citations in Idaho
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
Idaho cites F883 more often than its own record predicts
1.31 times the share F883 takes of citations nationally.
Of every deficiency written in Idaho 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 Idaho surveyors wrote
F883 findings written in Idaho, 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 staff interview and policy review, the facility failed to ensure a pneumococcal policy and procedure was developed. This failure created the potential for harm if residents did not receive pneumococcal vaccines and acquired, transmitted, or experienced complications from pneumococcal pneumonia. Findings include: The facility's Immunization policy, effective 7/8/21, documented the following: *Vaccination requirements were subject to change based on the most current CDC recommendations. *Any vaccine series must be completed within six months of start date (an alternate schedule might be necessary under extenuating circumstances and was at the discretion of the vaccine provider). …
The short window
Recent years
| Year | Share of Idaho citations | vs expected |
|---|---|---|
| 2023 | 1.43% | 1.62× |
| 2024 | 1.65% | 2.18× |
| 2025 | 0.83% | 1.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Idaho 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