Based on record review, hospital/emergency department documentation, facility policy review, and staff interviews, the facility failed to ensure staff verified Resident #2's documented allergy (to the COVID-19 vaccine) prior to administering the vaccine. The facility also failed to provide timely clinical assessment and medical intervention after the vaccine was administered. This affected one resident (Resident #2) of five residents reviewed for vaccinations.On 11/07/25 at 12:10 P.M., staff administered a COVID 19 vaccination to Resident #2 despite the vaccine being listed as an allergy in the resident's medical record. No immediate assessment or monitoring was completed following administration of the contraindicated vaccine. …
F887 citations in Ohio
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
Ohio cites F887 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F887 findings written in Ohio, 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 record review and interview the facility failed to maintain a staff SAR-Cov-02 (COVID-19) vaccine log. This had the potential to affect all residents residing in the facility. The facility census was 38.Findings Include:Review of the facility's staff COVID-19 vaccine logs revealed the last update to the logs were completed in 2023-2024 and had been completed by the previous administrator.Interview on 07/29/26 at 2:50 P.M. with the Assistant Director of Nursing (ADON) verified the facility does not have an updated staff COVID-19 vaccine log. The ADON stated the previous administrator and human resources had been updating the logs.
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.34% | 1.32× |
| 2024 | 0.32% | 1.13× |
| 2025 | 0.36% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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