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 Massachusetts. Pick another state for the same tag.
Against expectation — 2025
Massachusetts cites F887 more often than its own record predicts
Versus expected share2.55×
2.55 times the share F887 takes of citations nationally.
Share of Massachusetts citations0.93%
Of every deficiency written in Massachusetts in 2025, this is the portion that was F887.
Massachusetts0.93%
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 Massachusetts surveyors wrote
F887 findings written in Massachusetts, 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.
K · Immediate jeopardy, patternSeptember 29, 2021
Based on interview and record review, the facility failed to ensure that 1.) 4 sampled residents (#27, #29, #31 and #80) out of a total sample of 37 residents and 4 additional residents (#18, #33, #54 and #71) received education and were offered the Covid-19 vaccine and 2.) Two additional residents (#35 and #68) received their second Covid-19 vaccine.
Findings include:
During an interview with Administrator #1 and Interim Director of Nursing on 9/15/21 at 6:55 A.M., the Interim Director of Nursing said that the facility was currently experiencing an outbreak of Covid-19. She said that a staff member (CNA #1) had been tested on [DATE] as part of surveillance testing and the facility was notified of the positive COVID-19 result on 9/11/21. …
F · No harm, potential for more than minimal, widespreadJune 17, 2026
Based on record review and interview, the facility failed to document whether the facility educated its staff about severe acute respiratory syndrome (SARS) or the COVID-19 vaccine, or whether its staff received the COVID-19 vaccine. Findings include:Review of the facility policies for COVID-19 Vaccine and Employee Infection and Vaccination Status, last reviewed in 2026, indicated:Prior to or upon an employee's duty assignment, the facility will assess the status of an employee's vaccination against infectious conditions, screening and recent history of communicable diseases. Employees will be current with mandated vaccinations prior to performing resident care. Documentation of vaccinations include the signature of a licensed healthcare provider and employee when being administered. …
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