Based on interview and record review, the facility failed to follow the latest guidelines from the Centers for Disease Control and Prevention (CDC) to administer the COVID-19 vaccine following written consent or obtain informed declination documentation for Resident (R) 2, R1, R8, and R23.Findings included:1. R2's Electronic Medical Record (EMR) documented a declination for the COVID-19 booster vaccine on 06/14/2024, but lacked a current declination for the latest COVID-19 booster.2. R1's EMR documented a COVID booster received on 06/14/2023. The facility had a consent for a COVID-19 booster vaccine to be administered but lacked a signature date or record that R1 had received the most current vaccine.3. …
F887 citations in Kansas
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
Kansas cites F887 less often than its own record predicts
0.33 times the national share — cited less often here than elsewhere.
Of every deficiency written in Kansas 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 Kansas surveyors wrote
F887 findings written in Kansas, 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 Kansas citations | vs expected |
|---|---|---|
| 2023 | 0.40% | 1.54× |
| 2024 | 0.20% | 0.69× |
| 2025 | 0.12% | 0.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kansas 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