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 Tennessee. Pick another state for the same tag.
Against expectation — 2025
Tennessee cites F887 more often than its own record predicts
Versus expected share1.27×
1.27 times the share F887 takes of citations nationally.
Share of Tennessee citations0.46%
Of every deficiency written in Tennessee in 2025, this is the portion that was F887.
Tennessee0.46%
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 Tennessee surveyors wrote
F887 findings written in Tennessee, 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.
F · No harm, potential for more than minimal, widespreadJanuary 14, 2026
Based on policy review, employee list review, and interview, the facility failed to offer COVID-19 vaccinations to employees after February 2025, which had the potential to affect 76 of 76 residents that were residing in the facility. The findings include: Review of the facility policy titled, Employee Immunization and Vaccination Status, dated January 2024, revealed .Employees are offered or provided with immunization/vaccinations per state or local agency policies/regulations. Review of the employee list dated 1/14/2026 revealed 45 employees were hired from 2/2025 to 1/14/2026. The facility was unable to provide documentation that employees hired from 2/2025 to 1/14/2026 were offered the COVID vaccine. …
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