Based on observations, facility documentation, and interviews the facility failed to ensure that COVID-19 vaccination information was stored securely. The findings include: On 3/07/23 at 10:30 AM an observation of the Infection Control Office failed to ensure that staff and resident COVID-19 documents were secured from access by residents and staff. The office doors were unlocked and open and staff were not present in the office or outside in the adjacent hall. Interview with RN #2 on 3/07/23 at 10:49 AM indicated that the COVID-19 employee and patient records of vaccination status were kept locked in the Infection prevention office at all times due to HIPAA (to safeguard health information), however, RN#2 was unaware that the door needed to remain closed and locked if he was not in the… …
F888 citations in Connecticut
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
Connecticut cites F888 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Connecticut 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 Connecticut surveyors wrote
F888 findings written in Connecticut, 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 Connecticut surveyors cite →
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