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.
F887 in Indiana. Pick another state for the same tag.
Against expectation — 2025
Indiana cites F887 more often than its own record predicts
Versus expected share1.16×
1.16 times the share F887 takes of citations nationally.
Share of Indiana citations0.42%
Of every deficiency written in Indiana in 2025, this is the portion that was F887.
Indiana0.42%
National0.36%
Share of all citations that were F887.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F887 findings written in Indiana, 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.
J · Immediate jeopardy, isolatedOctober 29, 2021
Based on record review and interview, the facility failed to ensure the COVID-19 vaccination was offered to all residents of the facility, related to 2 of 40 residents who were not offered the COVID-19 vaccine after admission. (Residents D and E) Both residents have now tested positive for COVID-19. Resident D had the first positive COVID-19 test on 10/17/21 after presenting with a non-productive cough with diminished lung sounds and was transferred to the emergency room for [CONDITION(S)]. Resident E tested positive on 10/18/21. There are now 35 COVID-19 positive residents, of which 6 have been hospitalized , with 3 of those 6 residents remaining in the hospital, and 13 COVID-19 positive staff in the facility. …
F · No harm, potential for more than minimal, widespreadMay 6, 2026
Based on record review and interview, the facility failed to provide education of the benefits and risks of the COVID-19 vaccine and failed to offer the COVID-19 vaccine to the employees of the facility, which had the potential to affect all the residents who reside in the facility.Finding includes:During an interview on 4/30/26 at 2:43 p.m., the Minimum Data Set Assessment (MDS) Nurse indicated COVID-19 education and vaccination had not been offered to her.During an interview on 5/1/26 at 1:59 p.m., the Nurse Consultant indicated the COVID-19 education and vaccine had not been offered to the staff.During an interview on 5/6/26 at 9:50 a.m., the Administration indicated there were 99 staff members including therapy who were employed by the facility.A facility COVID-19 policy, dated… …
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