F888 in Massachusetts. Pick another state for the same tag.
Against expectation — 2023
Massachusetts cites F888 more often than its own record predicts
Versus expected share1.52×
1.52 times the share F888 takes of citations nationally.
Share of Massachusetts citations0.15%
Of every deficiency written in Massachusetts in 2023, this is the portion that was F888.
Massachusetts0.15%
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 Massachusetts surveyors wrote
F888 findings written in Massachusetts, 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.
F · No harm, potential for more than minimal, widespreadMay 16, 2023
Based on policy review, record review and interview, the facility failed to ensure its staff maintained a system to track and accurately document staff COVID-19 vaccination status.
Findings include:
Review of the facility COVID-19 Staff Vaccination Policy, last revised in June 2022 indicated the following:
- the infection preventionist maintains a tracking worksheet of staff members and their vaccination status.
- the tracking worksheet is the most current vaccination status of all staff who provide any care, treatment or other services for the facility and/or its residents. …
C · No harm, potential for minimal, widespreadJune 15, 2022
Based on policy review and interview, the facility failed to ensure the facility policy and procedures related to staff COVID-19 vaccinations included all the Federal requirements.
Findings include:
During an interview on 6/8/22 at 5:00 P.M., the Director of Nurses said she did not have a policy regarding staff vaccinations because the COVID-19 vaccine is mandated for all employees who work at the facility.
In a subsequent interview on 6/9/22 at 8:59 A.M., the regulatory requirements for staff vaccinations were reviewed with the Director of Nurses (DON). The DON said she does not believe the facility has a policy but will look again and make one up if she cannot locate the policy. …
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