Based on record review, interviews, and facility policy review, the facility failed to ensure residents were offered pneumococcal vaccinations in accordance with the Centers for Disease and Prevention Control (CDC) recommendations for 1 of 5 residents reviewed for immunizations (Resident #4 [R#4]).Finding: On 6/30/26, R4's clinical record was reviewed. There was no evidence R4 had received, been offered, or refused a Pneumococcal vaccination based on CDC recommendations. On 6/30/26 at 10:31 a.m., during an interview with a surveyor, the Director of Nursing (DON) stated she is also the Infection Preventionist, and that the facility follows CDC recommendations for vaccinations. During the interview, R4's clinical record was reviewed for immunizations. …
F883 citations in Maine
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
Maine cites F883 more often than its own record predicts
2.47 times the share F883 takes of citations nationally.
Of every deficiency written in Maine 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 Maine surveyors wrote
F883 findings written in Maine, 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 review of the facility's 'Influenza Immunization Policy,' Admission Influenza Consent form and interview, the facility failed to provide the Resident and/or the Resident's Representative with the Vaccine Information Statement (VIS)' prior to immunizing a resident with the influenza vaccine for all residents receiving the influenza vaccine who are not new admissions. Finding: On 2/15/24, the facility's Infection Prevention and Control Program was reviewed and the immunization policy and procedure indicated residents will be offered the influenza vaccination yearly following the Centers for Disease Control and Prevention (CDC) guidelines. …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 1.07× |
| 2024 | 2.37% | 3.12× |
| 2025 | 1.57% | 2.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine 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