Based on interviews and record reviews, the facility failed to have an acceptable and updated 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 and for residents with an immunocompromising condition(s) for six of six residents sampled for immunizations (Resident (R) 2, R3, R5, R6, R8, and R9). The facility's failure to have an acceptable 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. …
F883 citations in Ohio
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
Ohio cites F883 less often than its own record predicts
0.95 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F883 findings written in Ohio, 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 medical record review, review of hospital records, staff and resident interview, review of facility policy, and review of the Centers for Disease Control and Prevention guidelines, the facility failed to appropriately obtain consent and timely administer a flu and pneumococcal immunizations. Actual harm occurred on 02/29/24, when Resident #104 was diagnosed with pneumonia and was hospitalized for ten days for treatment including intravenous antibiotic therapy. The resident's representative gave permission for the resident to receive the pneumococcal vaccination on 02/01/24 (admission); however, the facility failed to administer the vaccination to the resident. This affected two (Residents #89 and #104) of five residents reviewed for immunizations. The facility census was 117. …
Based on review of the medical record and staff interviews, facility failed to ensure the flu vaccines were administered timely after obtaining consent. This affected one (Resident (#43) of five residents reviewed for immunizations. The facility census was 94. Findings include:Review of the medical record for Resident #43 revealed an admission date of 10/31/25. Diagnoses included kidney injury, respiratory failure, and heart failure. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #43 had intact cognition.Review of the vaccination consent paperwork revealed Resident #43 had signed consent to receive the flu vaccine on 10/31/25 when she admitted to the facility. Review of the progress note dated 12/05/25 revealed resident was administered the flu vaccine. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.76% | 0.86× |
| 2024 | 0.66% | 0.87× |
| 2025 | 0.61% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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