Based on staff interviews, facility documentation and policy and the Centers for Medicare and Medicaid Services (CMS) interim final rule requirements, the facility failed to ensure twelve staff members (#91, #89, #75, #96, #70, #86, #78, #61, #63, #24, #31 and #29) were vaccinated for COVID-19. The facility census was 57 residents. The deficient practice could result in the spread of COVID-19 in the facility. Findings include: Review of facility documentation revealed a staff list with COVID-19 vaccination information. On this list, 11 staff members did not have documentation indicating that they were fully vaccinated for COVID-19 or had vaccination exemptions or had an approved temporary delay of vaccination. …
F888 citations in Arizona
Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Arizona cites F888 more often than its own record predicts
3.48 times the share F888 takes of citations nationally.
Of every deficiency written in Arizona in 2023, this is the portion that was F888.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F888 findings written in Arizona, 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 Arizona surveyors cite →
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