Based on clinical record review, facility record review, and staff interview, the facility failed to develop and implement any policies or procedures related to staff receiving a COVID-19 vaccination and failed to identify additional precautions to be taken by unvaccinated staff. The facility failed to ensure 100% of staff received the vaccine as the facility reported an overall vaccination rate of 95.6%. The facility experienced an outbreak of COVID-19 infection during the month of [DATE] which resulted in 2 resident deaths with the primary cause of death documented as COVID-19 (Resident #42 and #258). This failure led to an immediate jeopardy situation. The facility reported a census of 55 residents. Findings Include: 1. …
F888 citations in Iowa
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
Iowa cites F888 less often than its own record predicts
0.59 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa 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 Iowa surveyors wrote
F888 findings written in Iowa, 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 interviews, document review, and facility policy review, it was determined the facility failed to ensure COVID-19 vaccination status and exemptions were monitored and exemptions were obtained and documented for 10 of 51 staff reviewed for COVID-19 vaccination status, including 1 (Registered Nurse [RN] #7) of 6 staff selected for COVID-19 vaccination compliance review. Findings included: A review of the facility's undated policy titled, Employee Vaccination Policy, indicated, Employee vaccination status will be tracked and securely documented for each staff member, including those for whom there is a temporary delay in vaccination and those who requested an exemption. …
Based on record review, policy review, infection preventionist interview, and Director of Nursing (Director of Nursing) interview the facility failed to have required contingency plans for staff who are not fully vaccinated, failed to have actions in place to be taken if staff indicated they had refused to get vaccinated and had not qualified for an exmption, failed to address staff who are not fully vaccinated due to either an exemption or temporary delay in vaccination. Findings include: Review of the facility COVID-19 staff vaccination matrix and staff formula spreadsheet had shown eleven staff working who had no documentation of COVID 19 vaccination. The facility reported 94 employees. …
What else Iowa surveyors cite →
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