F888 in Indiana. Pick another state for the same tag.
Against expectation — 2023
Indiana cites F888 less often than its own record predicts
Versus expected share0.75×
0.75 times the national share — cited less often here than elsewhere.
Share of Indiana citations0.07%
Of every deficiency written in Indiana in 2023, this is the portion that was F888.
Indiana0.07%
National0.10%
Share of all citations that were F888.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Indiana surveyors wrote
F888 findings written in Indiana, 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.
J · Immediate jeopardy, isolatedJune 7, 2022
Based on interview and record review, the facility failed to ensure 100% of their staff were fully vaccinated, when 4 of 5 partially vaccinated staff members did not complete their second Covid-19 vaccination as required for the vaccine mandate. (CRCA 1, RCA 2, CRCA 3 and Payroll staff 4). In the last 4 weeks, the facility had 26 positive residents, three hospitalized and four deaths. (Residents E, F, G and H).
The immediate jeopardy began on [DATE], when Resident Care Assistant (RCA 2) should have received the second Covid-19 vaccination after having the first Covid-19 vaccination on [DATE]. Certified Resident Care Assistant (CRCA) 1 received the first Covid-19 vaccination on [DATE] and was due for the second vaccine on [DATE]. …
D · No harm, potential for more than minimal, isolatedFebruary 9, 2023
Based on interview and record review, the facility failed to ensure staff COVID-19 vaccination medical exemptions specified a clinically recognized contraindication for 1 of 1 staff medical exemptions reviewed. (Staff 10)
Finding includes:
On 2/7/23 at 10:00 A.M., Staff 10's COVID-19 medical exemption was reviewed. The medical exemption, signed 6/7/22, indicated Staff 10 should not receive the COVID-19 vaccine related to family history of Guillian Barre after vaccine.
During an interview on 2/6/23 at 3:05 P.M., the Administrator indicated that unvaccinated staff testing and precautions depend on the county rates of transmission of covid.
On 1/30/23 at 10:34 A.M., the county rate for COVID-19 community transmission rate was high per the CDC COVID data tracker website. …
C · No harm, potential for minimal, widespreadApril 11, 2023
Based on record review and interview, the facility failed develop and implement comprehensive policies and procedures to prevent COVID-19 related to the lack of mitigation plans for additional precautions for unvaccinated employees in the Employee COVID-19 Vaccination Policy. This had the potential to affect all 36 residents in the facility.
Finding includes:
The Employee COVID-19 Vaccination Policy was reviewed on 4/11/23. The policy lacked additional COVID-19 mitigation plans for unvaccinated employees.
Interview with the Infection Control Nurse, on 4/6/23 at 10:10 a.m., indicated all staff were required to wear surgical masks regardless of vaccination status, they did not require additional measures for unvaccinated staff. …
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