Based on clinical record review, policy review, and staff interview, the facility failed to ensure the provision of pneumococcal vaccines and/or obtain declinations for the vaccines for 2 of 5 residents reviewed for immunizations (Residents #8 and Resident #38). The facility reported a census of 54 residents.Findings included:1. The Minimum Data Set (MDS) assessment tool, dated 6/24/26, listed diagnoses for Resident #8 which included high blood pressure, anxiety, and atrial fibrillation or other dysrhythmias(abnormal heart rhythms) and listed the resident's Brief Interview for Mental Status (BIMS) score as 15 out of 15, indicating intact cognition. The resident's Clinical Immunizations report lacked documentation the resident received or was offered a pneumococcal vaccine. …
F883 citations in Iowa
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
Iowa cites F883 more often than its own record predicts
1.73 times the share F883 takes of citations nationally.
Of every deficiency written in Iowa 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 Iowa surveyors wrote
F883 findings written in Iowa, 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 staff interview the facility failed to ensure immunization documentation for 1 out of 13 residents reviewed (#29). The facility reported a census of 35 residents. Findings include: 1. The Minimum Data Set (MDS) completed for Resident #29 dated 6/20/18, identified [DIAGNOSES REDACTED]. The resident had an admission date of [DATE]. The MDS documented the resident had been offered but declined the influenza and pneumococcal vaccines. A review of the electronic health record for immunizations documented refusal of the influenza vaccine and [MEDICATION NAME] vaccine. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.94% | 1.07× |
| 2024 | 0.65% | 0.86× |
| 2025 | 1.10% | 1.73× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa 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