F888 in Missouri. Pick another state for the same tag.
Against expectation — 2023
Missouri cites F888 more often than its own record predicts
Versus expected share2.03×
2.03 times the share F888 takes of citations nationally.
Share of Missouri citations0.20%
Of every deficiency written in Missouri in 2023, this is the portion that was F888.
Missouri0.20%
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 Missouri surveyors wrote
F888 findings written in Missouri, 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.
L · Immediate jeopardy, widespreadJanuary 14, 2022
Based on observation, interview and record review, the facility failed to meet the requirement of staff vaccination for 100% of their 82 facility-employed staff to either have one dose of a COVID-19 vaccine, or a pending exemption or approved exemption within 30 days of CMS' vaccination rule being in effect. As of the first date onsite at the facility, on [DATE], 23 of 82 facility-employed staff had not received their first dose of the COVID-19 vaccination and/or requested an exemption or temporary medical delay. This equals 28.048% of facility-employed staff who have not met the requirement for staff COVID-19 vaccinations. …
Based on record review and interview, facility staff failed to implement polices and procedures to ensure all staff were fully vaccinated for Coronavirus 2019 (COVID-19), failed to ensure the medical exemption for one provider under contract or other arrangement included the required information and failed to ensure providers under contract or other arrangement were vaccinated or exempt from vaccination. The facility had 4% of employees not fully vaccinated or with an approved exemption, four resident COVID-19 infections in the previous four weeks, and zero resident hospitalization s. The facility census was 84.
1. …
E · No harm, potential for more than minimal, patternApril 28, 2023
Based on interview, and record review, the facility failed to develop and implement policies and procedures to ensure all staff were either vaccinated for COVID-19 (a disease caused by a virus names SARS-CoV-2), or had an approved exemption. This failure included the initial and ongoing monitoring for compliance of facility staff vaccination/exemption status. The facility census was 86 residents.
Record review of the Center for Disease Control (CDC) Revised Guidance for Staff Vaccination Requirements dated 10/26/22 showed:
-Facility staff vaccination rate under 100% constituted non-compliance. …
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