Deficiency Index

F883 citations in Wisconsin

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.

F883 in Wisconsin. Pick another state for the same tag.

Against expectation — 2025

Wisconsin cites F883 more often than its own record predicts

Versus expected share1.49×

1.49 times the share F883 takes of citations nationally.

Share of Wisconsin citations0.95%

Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote

F883 findings written in Wisconsin, 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.

G · Actual harm, isolatedJune 15, 2023

Based on record review and interview, the facility did not offer and/or administer the influenza immunization to each resident, and the resident's medical record does not include documentation the resident either received, refused, or was educated on the risks and benefits of the influenza and immunization for 1 of 6 (R64) residents reviewed for immunizations that resulted in actual harm, and 2 of 6 residents (R34 and R27) reviewed for immunizations that resulted in the potential for harm. R64 consented to have the influenza immunization upon admission to the facility. …

Beloit Health and Rehabilitation Center

D · No harm, potential for more than minimal, isolatedAugust 26, 2026

Based on interview and record review, the facility did not ensure 2 residents (R) (R8 and R19) of 8 sampled residents received pneumococcal vaccines as indicated. The facility did not review R8's vaccination history and offer the PCV20 (Prevnar 20 vaccine) or influenza vaccine. The facility did not review R19's vaccination history and offer the PCV20 vaccine. Findings include: The facility's Pneumococcal Vaccine policy, dated March 2023, indicates: All residents will be offered the pneumococcal polysaccharide vaccine (PPSV23, Pneumovax 23) and pneumococcal conjugate vaccine (PCV20, Prevnar 20) to aid in preventing pneumococcal infection. …

Good Shepherd Services LTD

B · No harm, potential for minimal, patternMarch 3, 2025

[NAME] 5 of 5 reviewed for immunization No documentation of risk benefit in the medical record for 5 of 5 residents reviewed for immunizations. FACILITY Infection Control 02/17/25 10:10 AM interview with NHA and [NAME] Regional Director New in position Surveyor Explained what we are missing. While it shows weekly flushing of hoppers and toilets. It does not indicate tracking of which ones are done. The closed unit is done once a month per interview. Temperatures need to be kept above 140 and there is no documentation this is done. Maintenance says they do temp tanks and valves, but they keep it in their head and call a plumber if temps are outside the proper temp range. Interviews state they keep that in their head. …

Lindengrove Menomonee Falls

The short window

Recent years

YearShare of Wisconsin citationsvs expected
20231.84%2.08×
20241.15%1.52×
20250.95%1.49×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Wisconsin surveyors cite →

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