Based on interview and record, the facility failed to ensure they maintained documentation related to staff COVID-19 vaccination that includes at the COVID-19 vaccine status of staff and related information as indicated by the Centers for Disease Control and Prevention's National Healthcare Safety Network (NHSN) for 1 of 1 facility reviewed for immunizations. The facility failed to ensure documentation of immunizations related to COVID-19 were maintained for all staff. This failure could result in the spread of infection. Findings included: Record review of the facility documents titled EMPLOYEE Informed Consent for Influenza Vaccine reflected documents dated May 2026 for 80 staff members indicating their acceptance or declination of the influenza vaccination. …
F887 citations in Texas
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
Texas cites F887 less often than its own record predicts
0.14 times the national share — cited less often here than elsewhere.
Of every deficiency written in Texas 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 Texas surveyors wrote
F887 findings written in Texas, 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 Texas citations | vs expected |
|---|---|---|
| 2023 | 0.01% | 0.05× |
| 2024 | 0.03% | 0.10× |
| 2025 | 0.05% | 0.14× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Texas 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