Based on interview and record review, the facility failed to maintain documentation related to staff's COVID-19 (respiratory illness caused by the SARS-COV 2 virus) vaccination for one Pharmacy Consultant (PC), one Registered Dietician (RD) and one Physician (MD). This deficient practice had the potential to increase the risk of acquiring Covid-19 and spread of infection in the facility.Findings: During a review of the facility's employee COVID 19 immunization (the action of making a person resistant to a particular infectious disease) records, there was no documentation indicating the PC, RD and MD received or declined the required COVID 19 vaccination, or any documentation that they were provided information on the benefits and potential risks of the COVID 19 vaccination. …
F887 citations in California
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 — 2025
California cites F887 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in California in 2025, 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 California surveyors wrote
F887 findings written in California, 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 observation, interview, and record review, the facility failed to:a. Ensure education was provided about the benefits and risks of the COVID-19 (an illness caused by the coronavirus and affects the lungs and breathing, and can make other parts of the body sick) vaccine, maintain documentation of vaccine education, refusals, or acceptance, and follow their policy for ongoing COVID-19 immunization review for 13 of 13 sampled residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 8, Resident 9, Resident 21, Resident 26, Resident 31, Resident 33, Resident 36, and Resident 37). b. …
The short window
Recent years
| Year | Share of California citations | vs expected |
|---|---|---|
| 2023 | 0.23% | 0.88× |
| 2024 | 0.29% | 1.00× |
| 2025 | 0.33% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else California 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