Based on interview, record review, Centers for Disease Control and Prevention (CDC) guidance, and review of the facility's policy, the facility failed to ensure residents' medical records contained documentation that the resident or the resident representative refused the pneumococcal vaccination in accordance with facility policy and regulatory requirements for 1 of 5 residents sampled for immunization, Resident (R) 7.Review of R7's medical record and immunization reports revealed there was no signed documentation of the resident's or the resident representative's declination for the pneumococcal vaccination.The findings include:Review of CDC guidance titled, ACIP Recommendations: Pneumococcal Vaccine, dated 01/08/2025, revealed pneumococcal vaccination is based on age and risk factors,… …
F883 citations in Kentucky
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
Kentucky cites F883 less often than its own record predicts
0.66 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F883 findings written in Kentucky, 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 Kentucky citations | vs expected |
|---|---|---|
| 2024 | 0.60% | 0.79× |
| 2025 | 0.42% | 0.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky 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