Based on record review and interview the facility failed to provide education for one of five residents (Resident (R) 1) or their representative, reviewed for COVID-19 vaccine, regarding the benefits and risks and potential side effects associated with the COVID-19 vaccine before offering the vaccine and obtaining consent or declination from the resident or their representative. This deficient practice puts all residents at risk of not being fully informed about the benefits and risks and potential side effects associated with the COVID-19 vaccine administered at the facility.Findings Include:On 05/12/26 at 02:53 PM, record review was conducted for R1 to assure the resident received or declined their COVID-19 vaccine. …
F887 citations in Hawaii
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 — 2024
Hawaii cites F887 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in Hawaii in 2024, 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 Hawaii surveyors wrote
F887 findings written in Hawaii, 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 Hawaii citations | vs expected |
|---|---|---|
| 2023 | 0.63% | 2.44× |
| 2024 | 0.22% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Hawaii 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