Based on facility policy, clinical record review and staff interview, it was determined that the facility failed to provide accurate and timely documentation related to the Pneumonia vaccine for two of six residents (Resident R14 and R54), and failed to provide accurate and timely documentation related to the Influenza vaccine for three of six residents (Resident R3, R14, and R54).Findings include: Review of facility policy Standing Orders for Administering Pneumococcal Vaccine to Adults dated 4/16/26, indicated the purpose is to reduce morbidity and mortality from pneumococcal disease by vaccinating all adults who meet the criteria. …
F883 citations in Pennsylvania
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
Pennsylvania cites F883 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F883 findings written in Pennsylvania, 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 facility policy, facility documentation, clinical records and staff interview, it was determined that the facility failed to ensure that each resident's medical record included documentation that indicated, at a minimum that the resident or resident's representative was provided education regarding the benefits and potential side effects of Influenza/Pneumococcal immunizations; and that the resident either received the Influenza/Pneumococcal immunizations or did not receive the Influenza/Pneumococcal immunizations due to medical contraindications or refusal for eight of eight residents reviewed (Resident R9, R24, R25, R26, R28, R31, R35, and R37). …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.44% | 0.50× |
| 2024 | 0.53% | 0.70× |
| 2025 | 0.62% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania 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