Based on record and policy review, and staff interview, it was determined the facility failed to document if the COVID-19 vaccine was offered to residents. This was true for 2 of 5 residents (#4 and #8) reviewed for COVID-19 vaccination. This deficient practice created the potential for harm when residents were not offered education related to the risks and benefits of receiving the COVID-19 vaccination. Findings include:The facility's COVID-19 Vaccination policy dated 12/11/25, documented the resident's medical record will include documentation of the following:-Education to the resident or resident representative regarding the risks, benefits, and potential side effects of the COVID-19 vaccine.-Each dose of the vaccine administered to the resident, or,-If the resident did not receive the… …
F887 citations in Idaho
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
Idaho 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 Idaho 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 Idaho surveyors wrote
F887 findings written in Idaho, 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 Idaho surveyors cite →
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