Based on record reviews and staff interviews, the facility failed to ensure residents were offered the COVID-19 vaccination for 5 of 5 residents reviewed for immunizations (Resident #3 Resident #4, Resident #9, Resident #24 and Resident #45).The findings included:A review of the Center for Disease Control (CDC) guidelines, dated 11/19/25, indicated that the CDC recommended a 2025 to 2026 COVID-19 vaccine for individuals that were age [AGE] and older, were at high risk for severe COVID-19, or had never received a COVID-19 vaccine. a. …
F887 citations in North Carolina
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
North Carolina cites F887 more often than its own record predicts
1.19 times the share F887 takes of citations nationally.
Of every deficiency written in North Carolina 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 North Carolina surveyors wrote
F887 findings written in North Carolina, 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 North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.24% | 0.93× |
| 2024 | 0.52% | 1.81× |
| 2025 | 0.43% | 1.19× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina 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