Based on clinical record review, staff interview, policy review, and CDC guidelines review the facility failed to provide COVID-19 education and vaccinations for 5 of 5 residents (residents #1, #2, #3, #4 and #5) reviewed for immunizations. Additionally, the facility failed to track the immunization status of their staff. The facility reported a census of 5 residents.Findings include: Resident #1's immunization (vaccination) record lacked documentation of the 2025-2026 COVID-19 vaccination. Resident #2's immunization record lacked documentation of the 2025-2026 COVID-19 vaccination. Resident #3's immunization record lacked documentation of the 2025-2026 COVID-19 vaccination. Resident #4's immunization record lacked documentation of the 2025-2026 COVID-19 vaccination. …
F887 citations in Iowa
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
Iowa cites F887 more often than its own record predicts
1.16 times the share F887 takes of citations nationally.
Of every deficiency written in Iowa 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 Iowa surveyors wrote
F887 findings written in Iowa, 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.
Based on staff record review, and staff interviews the facility failed to provide documentation of COVID 19 vaccination declination forms for 5 of 5 staff, and 1 of 1 residents (Resident #127). The facility reports a resident census of 27. Findings Include: On 1/13/22 record review revealed five unvaccinated staff (Administrator, E, H, I, and J ) employed. Five out of the five staff submitted religious exemption requests, none of these requests indicated management approval. Further review shoed the Declinations Forms completed for 4 of 5 (not completed for E) on 1/13/2022, during the time the survey conducted. On 1/13/22 the Administrator stated that she received education via a COVID 19 Management Meeting held on 11/16/21. …
The short window
Recent years
| Year | Share of Iowa citations | vs expected |
|---|---|---|
| 2023 | 0.29% | 1.13× |
| 2024 | 0.29% | 1.01× |
| 2025 | 0.42% | 1.16× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Iowa surveyors cite →
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