F888 in Colorado. Pick another state for the same tag.
No F888 citations were recorded in Colorado for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What Colorado surveyors wrote
F888 findings written in Colorado, 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.
L · Immediate jeopardy, widespreadApril 19, 2022
Based on observations, record review and interviews, the facility failed to develop and implement a COVID-19 staff vaccination process to address all facility staff, including unvaccinated staff who provided care, treatment and other services to facility and/or residents.
Specifically, the facility failed to monitor each contracted staff member's vaccination status to ensure proper advanced PPE (personal protective equipment) strategies (as indicated in the facility's policy and procedure) were used to prevent the spread of COVID-19.
The facility was unable to provide a listing of the vaccination status of all contracted providers/staff who enter the facility on a regular basis and provide direct care to residents. …
E · No harm, potential for more than minimal, patternOctober 20, 2022
Based on record review and interviews, the facility failed to develop and
implement a COVID-19 staff vaccination process to address all facility staff, including
unvaccinated staff who provided care, treatment and other services to the facility and/or residents.
Specifically, the facility failed to have a process for tracking and securely documenting the COVID-19 vaccination status of all staff and agency staff.
Findings include:
I. Facility policy and procedure
The COVID-19 Vaccination Program for Associates policy and procedure, revised 9/6/22, was provided by the nursing home administrator (NHA) via email on 10/19/22 at 10:16 a.m. …
C · No harm, potential for minimal, widespreadDecember 1, 2022
Based on observations, record review and interviews, the facility failed to develop and implement a COVID-19 staff vaccination process to address all facility staff, including agency staff who provided care, treatment and other services to facility and/or residents.
Specifically, the facility failed to obtain the vaccination status of outside providers and staff.
The facility was unable to provide an accurate listing of the vaccination status of all contracted providers/staff who enter the facility on a regular basis and provide direct care to residents. …
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