Based on interviews and record reviews, the facility failed to have an effective immunization program in place to ensure residents were offered pneumococcal vaccinations per the Centers for Disease Control and Prevention (CDC) recommendations for residents over the age of 65 for six of eight residents sampled for immunizations. The facility's failure to have an effective immunization program related to pneumococcal vaccinations placed all residents over the age of 65 and any resident with an immunocompromising condition at likely risk for serious harm or death related to the development of pneumonia. The Immediate Jeopardy began on [DATE] when the R6 developed pneumonia after the facility failed to offer R6 the pneumococcal vaccination. …
F883 citations in Indiana
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
Indiana cites F883 less often than its own record predicts
0.93 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F883 findings written in Indiana, 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 and interview, the facility failed to provide a pneumococcal vaccination timely for a resident whose Power of Attorney had indicated consent upon admission, subsequently the resident was assessed at a local hospital and diagnosed with multi-focal pneumonia. This affected 1 of 6 residents reviewed for immunizations. (Resident B) Finding includes: A record review of Resident B was completed on 5/31/2023 at 1:33 P.M. Diagnoses included, but were not limited to: pneumonia, dementia, and acute bronchitis. An Admission (5-day) Minimum Data Set (MDS) Assessment on 4/28/2023, indicated the pneumococcal vaccination was up to date. Resident B admitted to the facility on [DATE] with a recent history of COVID-19. …
Based on record review and interview, the facility failed to provide a timely consented pneumococcal immunization for 1 of 5 residents reviewed for infection control. (Resident 29) Finding includes:A record review for Resident 29, completed on 4/29/2026 at 2:12 P.M., indicated Resident 29's Power of Attorney (POA) consented, on 9/12/2025, for a pneumococcal vaccination and a COVID-19 booster to be administered.A Physician's Order, dated 3/30/2026, indicated Prevenar 20 (Pneumococcal 20-Valent Conjugate Vaccine) intramuscular 0.5 milliliter every day for disease prevention for one day on 4/8/2026.A Physician's Order, dated 4/29/2026, indicated Prevenar 20 (Pneumococcal 20-Valent Conjugate Vaccine) intramuscular 0.5 milliliter every day for disease prevention for one day on 4/29/2026.A… …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.60% | 0.68× |
| 2024 | 0.62% | 0.82× |
| 2025 | 0.59% | 0.93× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana 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