Deficiency Index

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.

F887 in Hawaii. Pick another state for the same tag.

Against expectation — 2024

Hawaii cites F887 less often than its own record predicts

Versus expected share0.78×

0.78 times the national share — cited less often here than elsewhere.

Share of Hawaii citations0.22%

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.

D · No harm, potential for more than minimal, isolatedMay 14, 2026

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. …

Samuel Mahelona Memorial Hospital

The short window

Recent years

YearShare of Hawaii citationsvs expected
20230.63%2.44×
20240.22%0.78×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Hawaii surveyors cite →

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