Based on record reviews and staff interviews, it was determined that the facility failed to ensure staff members' COVID-19 vaccination statuses were monitored and documented. This affected two (Geriatric Nursing Assistants #11 and #12) of five staff members reviewed immunization records during the annual survey.The findings include:The COVID-19 vaccine provides acquired immunity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for coronavirus disease 2019 (COVID-19).On 7/21/26 at approximately 7:00 AM, a review of staff immunization records revealed that two of five reviewed employee health files lacked documentation of COVID-19 vaccination status:-GNA #11 was hired in December 2025 as direct care staff and lacked documentation of COVID-19… …
F887 citations in Maryland
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
Maryland cites F887 more often than its own record predicts
2.26 times the share F887 takes of citations nationally.
Of every deficiency written in Maryland 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 Maryland surveyors wrote
F887 findings written in Maryland, 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 Maryland citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 1.63× |
| 2024 | 0.11% | 0.37× |
| 2025 | 0.82% | 2.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland surveyors cite →
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