Based on observation, record review, and interviews, the facility failed to ensure infection control prevention practices were maintained to prevent the development and transmission of communicable diseases. Specifically, the facility failed to provide documentation of screening, administration or declination, and education of the COVID-19 vaccination for nine (9) of ten (10) staff members reviewed for COVID-19 vaccinationsThe findings include:The facility's policy and procedure titled Immunization Recommendation for Health Care Professions with a reviewed date of 01/2026 documented that up-to-date COVID-19 vaccinations are recommended by the Centers for Disease Control but are not mandatory.During the Recertification Survey, the facility failed to provide documentation that COVID-19… …
F887 citations in New York
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
New York cites F887 more often than its own record predicts
1.01 times the share F887 takes of citations nationally.
Of every deficiency written in New York 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 New York surveyors wrote
F887 findings written in New York, 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 New York citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.20× |
| 2024 | 0.18% | 0.61× |
| 2025 | 0.37% | 1.01× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York 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