Based on record review and interview during the recertification survey conducted 3/18/2024-3/29/2024, the facility failed to vaccinate eligible residents with the pneumococcal vaccination (a vaccination developed to minimize the risk of acquiring, transmitting, or experiencing complications of pneumonia) for 44 of 245 residents who consented to the pneumococcal vaccine. Specifically, from 9/5/2023 through 3/25/2024, Residents #12, #14, #17, #18, #24, #27, #31, #43, #45, #57, #63, #74, #82, #95, #102, #103, #108, #109, #117, #118, #126, #129, #134, #165, #173, #177, #186, #192, #213, #214, #215, #216, #219, #222, #224, #226, #229, #235, #484, #533, #585, #586, #587, and #633 consented to and had medical orders to receive the pneumococcal vaccine and did not receive it. …
F883 citations in New York
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
New York cites F883 less often than its own record predicts
0.52 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York 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 New York surveyors wrote
F883 findings written in New York, 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 during a survey, the facility did not ensure each resident was offered pneumococcal and influenza immunizations and received education regarding the benefits and potential side effects of the immunizations for one (1) (Residents #25) of four (4) residents reviewed. Specifically, there was no documented evidence Resident #25 was offered, declined, or educated on the pneumococcal or influenza immunizations, and did not complete the tuberculosis testing required as required.This is evidenced by:A facility policy titled admission policy and dated 8/2018, documented in pertinent part that when a resident was admitted to the nursing unit, the Nurse must record data (as each may apply) in appropriate place in the record (paper) or electronic health record. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 0.41× |
| 2024 | 0.53% | 0.69× |
| 2025 | 0.33% | 0.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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