Based on record review and interview, one (R5) out of five residents reviewed for infection control, the facility failed to offer and document COVID-19 immunization. Findings include: The facility policy dated 2023 and titled, COVID-19, Influenza, and Pneumococcal Education and Consent for Residents included, . Upon admission, the licensed nurse will obtain consent from the resident, or legal responsible party, using the COVID-19, Influenza, or Pneumococcal Vaccine Consent Form. This form will then be stored in the residents' primary care electronic health record. …
F887 citations in Delaware
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
Delaware cites F887 more often than its own record predicts
1.17 times the share F887 takes of citations nationally.
Of every deficiency written in Delaware 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 Delaware surveyors wrote
F887 findings written in Delaware, 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.
The short window
Recent years
| Year | Share of Delaware citations | vs expected |
|---|---|---|
| 2023 | 0.53% | 2.04× |
| 2024 | 0.53% | 1.84× |
| 2025 | 0.43% | 1.17× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Delaware 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