Based on observation, clinical record review, staff interviews, and the Centers for Medicare and Medicaid Services (CMS) regulation, the facility failed to ensure that four residents (#12, #16, #125, #227) were offered and received education on the risks and benefits associated with the COVID-19 vaccine. Findings include: A review of the immunization records and the clinical records for residents #12, #16, #125 and #227, revealed no evidence that residents #12, #16, #125 and #227 were offered and educated on the risks and benefits associated with the COVID-19 vaccine. The clinical record of residents #12, #16, #125 and #227 revealed no documentation that these residents refused the COVID-19 vaccine. In an interview with a resident (#12) conducted on August 7, 2023, at 9:30 a.m. …
F887 citations in Arizona
COVID-19 vaccination · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Arizona cites F887 less often than its own record predicts
0.67 times the national share — cited less often here than elsewhere.
Of every deficiency written in Arizona in 2023, this is the portion that was F887.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F887 findings written in Arizona, 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.
What else Arizona surveyors cite →
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