Based on interview and record review, the facility failed to ensure all staff were fully vaccinated, had an approved or pending medical or religious exemption, or a temporary delay per the Center for Disease Control (CDC) per the Centers for Medicare and Medicaid Services (CMS) COVID-19 Health Care Staff Vaccination Regulations Quality, Safety and Oversight on 01/14/22 (QSO). The findings are: 1. On 01/09/23 at 08:03 PM, the Administrator provided the Assistant Director of Nursing/Infection Control & and Preventionist's (ADON/ICP) [named] Infection Prevention Certificate dated 11/28/20. 2. On 01/09/23 at 08:27 PM, the Minimum Data Set (MDS) Coordinator provided a list for the last 4 weeks that contained the names of 5 Covid-19 positive residents and 5 Covid-19 positive staff. 3. …
F888 citations in Arkansas
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
Arkansas cites F888 more often than its own record predicts
4.64 times the share F888 takes of citations nationally.
Of every deficiency written in Arkansas 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 Arkansas surveyors wrote
F888 findings written in Arkansas, 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.
Based on interview, and record review, the facility failed to ensure all staff received complete primary vaccinations, had an approved or pending medical or religious exemption, or a temporary delay per the Center for Disease Control (CDC) and the Centers for Medicare and Medicaid Services (CMS) COVID-19 Health Care Staff Vaccination regulations; failed to ensure staff COVID-19 vaccinations were accurately tracked, documented, and updated timely and failed to submit data weekly to the National Healthcare Safety Network (NHSN). The findings are: 1. The Administrator provided a Staff COVID-19 event list on 05/16/23 at 11:35 AM which documented 3 partially vaccinated staff with one dose of either a Pfizer or Moderna vaccination. 2. …
What else Arkansas surveyors cite →
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