Based on interview and record review, the facility failed to ensure the infection control and prevention program had ongoing immunization monitoring and documentation of the screening and eligibility process to receive the COVID-19 (an infectious respiratory illness caused by the SARS-CoV-2 virus, highly contagious, spreading mainly through respiratory droplets) vaccine; failed to provide and document education related to the COVID-19 benefits and potential side effects of the vaccine, for four sampled residents (Resident #12, #60, #81 and #89) out of five sampled residents who did not have a separate consent or refusal form for COVID-19 completed to include with acknowledgement of risk and benefits of the COVID-19 vaccine. …
F887 citations in Missouri
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
Missouri cites F887 less often than its own record predicts
0.95 times the national share — cited less often here than elsewhere.
Of every deficiency written in Missouri 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 Missouri surveyors wrote
F887 findings written in Missouri, 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.
Based on interview and record review, facility staff filed to ensure the residents' medical records included documentation the resident or resident's representative was provided education regarding the benefits and potential risks associated with COVID-19 vaccine, and each dose of COVID-19 vaccine administered to the resident, if the resident did not receive the COVID-19 vaccine due to medical contraindications or refusal for five residents (Resident #12, #16, #70, #71, and #77) of nine sampled residents. The facility census was 79. 1. Review of the Facility's COVID-19 Vaccine Policy - Residents, date 4/21/2023, showed residents who reside in Marymount Manor will be offered upon admission and annually for their consent to be provided a COVID-19 vaccination. 2. …
The short window
Recent years
| Year | Share of Missouri citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.67× |
| 2024 | 0.33% | 1.16× |
| 2025 | 0.35% | 0.95× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Missouri 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