F888 in New York. Pick another state for the same tag.
Against expectation — 2023
New York cites F888 more often than its own record predicts
Versus expected share1.04×
1.04 times the share F888 takes of citations nationally.
Share of New York citations0.10%
Of every deficiency written in New York in 2023, this is the portion that was F888.
New York0.10%
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 York surveyors wrote
F888 findings written in New York, 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.
J · Immediate jeopardy, isolatedApril 24, 2022
Based on observation, interviews and record review during an Abbreviated Survey (#NY 698) completed on 4/22/22 the facility failed to ensure that all staff (except for those staff who have been granted exemptions to the vaccination requirements or staff for whom COVID-19 vaccination must be temporarily delayed, as recommended by the CDC) have received, at a minimum, one dose of COVID-19 vaccine prior to providing care/treatment/services for the facility and/or its residents. In addition, facility failed to have a contingency plan for staff who are not fully vaccinated and when staff have indicated that they will not get vaccinated and do not qualify for an exemption. …
D · No harm, potential for more than minimal, isolatedMarch 16, 2023
Based on record review and interviews conducted during the Recertification Survey initiated on 3/9/23 and completed on 3/16/23, the facility did not implement policies and procedures to ensure that staff who were granted an exemption to the Covid-19 vaccine requirement adhere to additional precautions that are intended to mitigate the spread of Covid-19. This was evident for 1 of 1 medical exemptions provided by the facility. Specifically, an unvaccinated staff member providing direct care for residents had a valid medical exemption, but no additional precautions were in place. …
C · No harm, potential for minimal, widespreadAugust 30, 2022
Based on interviews and record review, during the Recertification Survey initiated on 8/24/2022 and completed on 8/30/2022, the facility failed to develop and implement policies and procedures to ensure a contingency plan for staff who are not fully vaccinated to mitigate the transmission and spread of COVID-19. This was identified for one [Licensed Practical Nurse (LPN) #1] of one unvaccinated, medically exempted, staff reviewed for COVID-19 vaccination. Specifically, the facility policy and procedure did not include a contingency plan for staff who are not fully vaccinated. Additionally, LPN #1's medical exemption form did not specify which authorized or licensed COVID-19 vaccine is clinically contraindicated for the staff member. …
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