Based on record review and interview, the facility failed to develop and implement policies and procedures that ensured all staff are fully vaccinated for COVID-19 or have a vaccine exemption in place regarding COVID-19. The facility had 11 out of 61 current staff members not fully vaccinated for COVID-19. The deficient practice resulted in an immediate jeopardy situation on 07/25/2022 when the facility had 5 residents (#11, #19, #26, #35, and #88) that were COVID-19 positive, with 2 (#26 and #88) of the 5 (#11, #19, #26, #35, and #88) residents being hospitalized for COVID-19 within a 4 week period. …
F888 citations in Louisiana
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
Louisiana cites F888 more often than its own record predicts
2.67 times the share F888 takes of citations nationally.
Of every deficiency written in Louisiana 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 Louisiana surveyors wrote
F888 findings written in Louisiana, 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 record review and interview, the facility failed to implement a process to ensure 100% of the facility's staff were fully vaccinated as evidenced by failing to provide documentation of COVID-19 vaccination status for 1 (S20CNA-Certified Nursing Assistant) out of 1 staff listed as temporary delay/new hire. This deficient practice had the potential to affect the 30 residents who resided on Hall B. Findings: Review of policy: Mandatory COVID-19 Vaccination Policy and Procedure read in part . New Hires: All new employees are required to comply with the vaccination requirements outlined in this policy as soon as practicable and as a condition of employment. …
What else Louisiana surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction