Based on interview and record review, the facility failed to fully develop a process for notifying residents, their representatives each time a confirmed COVID-19 laboratory test result was identified as positive for two of three residents (Resident #s 2 and 3), reviewed for COVID status. The facility failed to inform the representative of Resident #2's positive COVID status and the resident passed away without representative notification. The facilty also failed to notify Resident #3's representative about the current COVID status (positive staff) in the facility prior to the resident's discharge. This failure put residents and their representatives at risk of not being fully informed of COVID-19 activity in the facility, and at risk of spreading COVID into the community. …
F885
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F885 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F885 finding.
The harm level
How severely F885 is cited
0.7% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J10.7% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D3727.6% | E4835.8% | F3626.9% |
| No harm, potential for minimal | A— | B21.5% | C107.5% |
In the surveyor’s words
What an F885 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review, staff interview, review of online guidance from Centers for Medicare and Medicaid Services (CMS), the facility failed to notify the resident's representatives and /or families of the facility's Coronavirus 2019 (COVID-19) status during an outbreak. This had the potential to affect all residents at the facility. The facility census was 93. Findings include: Review of the medical record for Resident #48 revealed the resident was admitted to the facility on [DATE]. Diagnoses included COVID-19, hereditary and idiopathic neuropathy, essential primary hypertension, mixed hyperlipidemia, metabolic encephalopathy, obstructive and reflux uropathy, hypomagnesemia, hypokalemia, and vitamin D deficiency. …
Based on review of the facility documentation, facility policy, and interviews, the facility failed to inform residents, their representatives, and families of confirmed Covid 19 cases in the facility. The findings include: The DNS identified on 5/2/23 at 3:40 PM that the Voice Friend used for notification of Covid 19 outbreaks to families, care givers, staff and residents was deactivated in October 2022 when the new owners took over. The DNS identified the notification to caregivers and residents of outbreaks as well residents being observed (3 or more) for signs of Covid 19 was the responsibility of the infection control nurse, however, the Infection Control nurse had indicated during previous interview 5/1/23 1:25 PM that she was not responsible and did not oversee the notification… …
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