Based on interview, record review, and review of the facility's policies, the facility failed to ensure the resident's medical record included declination documentation indicating the resident or resident representative was provided education regarding the benefits and potential risks of the COVID-19 vaccine, or documentation the resident received the vaccine, for 3 of 5 residents sampled for immunizations, Resident (R) 2, R5, and R7.1. Review of R2's medical record revealed no documentation of COVID-19 vaccine consent or declination, and no documentation of education provided on the benefits and potential risks of the vaccination.2. …
F887 citations in Kentucky
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
Kentucky cites F887 more often than its own record predicts
1.15 times the share F887 takes of citations nationally.
Of every deficiency written in Kentucky 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 Kentucky surveyors wrote
F887 findings written in Kentucky, 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 Kentucky citations | vs expected |
|---|---|---|
| 2024 | 0.45% | 1.58× |
| 2025 | 0.42% | 1.15× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Kentucky surveyors cite →
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