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 Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F887 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F887 takes of citations nationally.
Share of Virginia citations0.38%
Of every deficiency written in Virginia in 2025, this is the portion that was F887.
Virginia0.38%
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 Virginia surveyors wrote
F887 findings written in Virginia, 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.
G · Actual harm, isolatedFebruary 12, 2026
Based on staff interview, clinical record review, and facility document review, the facility staff failed to offer a 2025-2026 COVID-19 vaccine for three (3) of eight (8) sampled residents (Resident #5, Resident #13, and Resident #12). Resident #5 developed COVID-19 26 days following admission thus resulting in harm for Resident #5. The facility staff also failed to offer 2025-2026 COVID-19 vaccines to the facility staff. The findings included:1. For Resident #5, the facility staff failed to offer the resident a 2025-2026 COVID-19 vaccine following admission to the facility on 1/14/26. The resident tested positive for COVID-19 on 2/09/26 thus resulting in harm to the resident. …
E · No harm, potential for more than minimal, patternJune 17, 2026
Based on staff interview, clinical record review, and facility document review, the facility staff failed to provide education for the COVID-19 vaccines for 2 of 5 residents (Residents #7 and #12) and failed to offer COVID-19 vaccine for 1 of 5 (Resident #7) sampled residents. The findings included: Five residents were chosen from the initial pool for review for COVID-19 vaccinations. Of these 5 residents, there was no evidence that Resident #7 had been offered a COVID-19 vaccine or that education was provided related to COVID-19 immunization. Resident #12 had refused the COVID-19 vaccination, and there was no evidence that education had been provided related to COVID-19 immunization. …
C · No harm, potential for minimal, widespreadDecember 4, 2025
Based on staff interview and facility document review, the facility staff failed to provide evidence of education regarding the risks, benefits and potential side effects of the COVID-19 vaccine for facility employees and failed to provide evidence of informed consent of the COVID-19 vaccine for facility employees. The findings included:This surveyor requested evidence of a facility staff member's screening and eligibility, provision of education, risks versus benefits, offering and administration of the COVID-19 vaccine during the infection prevention review. On 12/3/25 at 9:12 AM, the facility administrator informed this surveyor if an employee wants a COVID-19 vaccine, the facility orders the vaccine from the pharmacy and administers it. …
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