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 Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F887 more often than its own record predicts
Versus expected share2.15×
2.15 times the share F887 takes of citations nationally.
Share of Montana citations0.78%
Of every deficiency written in Montana in 2025, this is the portion that was F887.
Montana0.78%
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 Montana surveyors wrote
F887 findings written in Montana, 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.
E · No harm, potential for more than minimal, patternJune 29, 2026
Based on interview and record review, the facility failed to maintain documentation of the COVID-19 vaccination status (received or refused) for one staff member (staff member M) of 2 sampled staff for COVID-19 vaccination status. Findings include:During an interview on 6/28/26 at 4:57 p.m. staff member M stated the facility offered COVID-19 vaccinations to employees. Staff member M stated she declined the initial COVID-19 vaccination series and did not recall if the facility had offered her the latest booster vaccination. …
C · No harm, potential for minimal, widespreadJune 18, 2026
Based on interview and record review, the facility failed to maintain documentation of staff education of the risks and benefits associated with the COVID-19 vaccine and documentation of the COVID-19 vaccination status for all staff members. Findings include:During an interview on 6/16/26 at 4:00 p.m., staff member A stated, I do not ask staff about their COVID status because it (the vaccine) is no longer mandatory. We don't provide any education to staff regarding COVID vaccines.During an interview on 6/17/26 at 3:47 p.m., staff member G stated the facility was not tracking COVID-19 status documentation unless it was self-reported by staff.A request was made on 6/16/26 for the COVID-19 vaccination status, consent or declination, education, and administration for staff member K. …
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