Based on review of policies and procedures and interview with infection control officer (employee # 1), it was determined that facility failed to develop and implement policies, procedures and structure to comply with COVID-19 immunizations and other requirements related with COVID-19 immunizations. Findings include: During interview on 09/09/2024 at 3:35 PM the infection control officer (employee #1) stated the following in relation with the compliance of the facility with COVID-19 vaccination: 1. Facility did not have available COVID-19 vaccines. 2. Facility had not had any contract or agreement with another entity to make available COVID-19 vaccines if a resident want to receive the vaccine. 3. …
F887 citations in Puerto Rico
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 — 2024
Puerto Rico cites F887 more often than its own record predicts
2.47 times the share F887 takes of citations nationally.
Of every deficiency written in Puerto Rico in 2024, 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 Puerto Rico surveyors wrote
F887 findings written in Puerto Rico, 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.
What else Puerto Rico surveyors cite →
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