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 Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F887 more often than its own record predicts
Versus expected share1.24×
1.24 times the share F887 takes of citations nationally.
Share of Michigan citations0.45%
Of every deficiency written in Michigan in 2025, this is the portion that was F887.
Michigan0.45%
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 Michigan surveyors wrote
F887 findings written in Michigan, 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.
G · Actual harm, isolatedMarch 3, 2026
Based on interview and record review, the facility failed to administer covid vaccinations for six Residents (#49, #7, #14, #28, #43, and #45) of nine residents reviewed for covid vaccinations. This deficient practice resulted in death for Resident #49 (R49) from Covid-19 after the facility failed to administer the Covid-19 vaccine as requested.Findings include:Resident #49 (R49)
Review of progress notes revealed the following:
[DATE] at 2:57 a.m., read in part [R49] observed to be lethargic and not of one self from CNA (Certified Nurse Aide). Vitals revealed 80/49 (blood pressure) p (pulse) 61R (respirations) 18.
[DATE] at 5:05 p.m., Patient is covid positive. …
D · No harm, potential for more than minimal, isolatedAugust 14, 2026
Based on observation, interview, and record review the facility failed to offer COVID-19 immunizations in two (Resident 18, 87) in five reviewed for immunizations Resident 18 (R18) Review of the medical record reflected R18 was admitted to the facility on [DATE], with diagnoses that included aphasia. The Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 5/29/26, reflected R18 scored 13 out of 15 (cognitively intact) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). Resident 87 (R87) Review of the medical record reflected R87 was admitted to the facility on [DATE], with diagnoses that included major depression and anxiety. …
B · No harm, potential for minimal, patternMay 12, 2025
Based on interview and record review, the facility failed to administer a COVID-19 vaccine per consent for one (R33) of five reviewed.
Findings include:
Review of the medical record revealed R33 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's Disease and diabetes. The Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 3/31/25 revealed R33 scored 00 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS-a cognitive screening tool). R33's spouse was their Durable Power of Attorney (DPOA) for Healthcare.
According to R33's immunization history, the most recent COVID-19 vaccine was administered on 11/7/23. …
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