F888 in Michigan. Pick another state for the same tag.
Against expectation — 2023
Michigan cites F888 more often than its own record predicts
Versus expected share1.20×
1.20 times the share F888 takes of citations nationally.
Share of Michigan citations0.12%
Of every deficiency written in Michigan in 2023, this is the portion that was F888.
Michigan0.12%
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 Michigan surveyors wrote
F888 findings written in Michigan, 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.
G · Actual harm, isolatedNovember 18, 2022
Based on interview, and record review, the facility failed to operationalize policies and procedures to ensure all staff were fully vaccinated for COVID-19 or possessed an approved exemption in a timely manner, in 2 of 20 staff members reviewed for COVID-19 vaccination status, resulting in the potential for transmission of COVID-19 to a vulnerable population.
Findings include:
Review of a COVID-19 Staff Vaccination Matrix, provided by the facility on 11/17/22, revealed Receptionist FF was highlighted in red (indicating exempt per the document key), with no COVID-19 vaccination information or exemption information documented on the form. …
D · No harm, potential for more than minimal, isolatedMay 11, 2023
Based on interview and record review, the facility failed to accurately track and document staff COVID-19 vaccination status and implement a process ensuring all staff were fully vaccinated for COVID-19, resulting in an inaccurate vaccination matrix, staff who were not vaccinated or partially vaccinated, and the potential for the transmission of COVID-19.
Findings include:
Review of the facility's Infection Control Manual: Chapter 10 Screening and Vaccinations revealed Both the annual influenza vaccine and the COVID-19 vaccines are mandatory for employees unless the individual has an approved medical contraindications or an approved religious exemption. …
C · No harm, potential for minimal, widespreadApril 20, 2022
Based on observation, interview and record reviews the facility failed to follow their COVID 19 contingency plan for one unvaccinated staff (Certified Nursing Assistant (CNA) E) of four sampled staff. Findings include:
On 4/20/22 at 10:20 AM, CNA E was observed walking through the patient care area with a blue surgical mask. At 10:22 AM, an interview was conducted with CNA E on the 100-unit hallway. When asked about the facility's requirements for COVID testing, CNA E explained that they had an exemption for the Covid-19 vaccination and would test for COVID every three days. When asked what additional Personal Protective Equipment (PPE) the facility requires them to wear, CNA E stated gloves with each resident, however they switch gloves between residents. …
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