F888 in New Jersey. Pick another state for the same tag.
Against expectation — 2023
New Jersey cites F888 less often than its own record predicts
Versus expected share0.61×
0.61 times the national share — cited less often here than elsewhere.
Share of New Jersey citations0.06%
Of every deficiency written in New Jersey in 2023, this is the portion that was F888.
New Jersey0.06%
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 New Jersey surveyors wrote
F888 findings written in New Jersey, 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, widespreadOctober 12, 2022
Based on interview, record review and document review, it was determined that the facility failed to: a.) ensure the facility policy, Centers for Disease Control and Prevention (CDC), and Centers for Medicare and Medicaid Services (CMS) for COVID-19 vaccinations was implemented to ensure that all staff were up to date with COVID-19 vaccinations, or have been granted a qualifying exemption during a COVID-19 outbreak that began on 06/24/22; and, b.) ensure all staff that were not up to date with vaccinations, or had been granted a qualifying exemption were not permitted to work in the facility. …
E · No harm, potential for more than minimal, patternFebruary 14, 2023
Based on interview and review of other facility documentation, it was determined that the facility failed to accurately track and document the COVID-19 vaccination status of the vendors/contracted staff . This deficient practice was evidenced by the following:
On 2/6/2023, during entrance conference, the facility was asked to provide documentation of their staff and contracted staff vaccination status.
During an interview with the surveyor on 2/8/2023 at 10:50 AM, the Infection Prevention Nurse (IPN) and the Director of Nursing (DON) stated that they failed to track and maintain records of COVID-19 vaccinations for outside vendors/contractors. …
C · No harm, potential for minimal, widespreadNovember 3, 2022
Based on interview and record review, it was determined that the facility failed to: a.) ensure that staff was up-to-date on their COVID-19 vaccinations for one (1) of five (5) staff reviewed for compliance, b.) track staff who had not received a booster and inaccurately identified the staff member as medically exempt for one of one reviewed for a medical exemption, and c.) update and implement their facility policy and delineate a contingency plan for not up-to-date vaccinated staff in accordance with Federal and State guidelines.
This deficient practice was evidenced by the following:
Reference: According to the Centers for Medicare and Medicaid Services (CMS) QSO-23-02-ALL Revised Guidance for Staff Vaccination Requirements, dated 10/26/22 . …
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