F888 in North Carolina. Pick another state for the same tag.
Against expectation — 2023
North Carolina cites F888 less often than its own record predicts
Versus expected share0.96×
0.96 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.10%
Of every deficiency written in North Carolina in 2023, this is the portion that was F888.
North Carolina0.10%
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 North Carolina surveyors wrote
F888 findings written in North Carolina, 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, isolatedJuly 15, 2022
Based on observations, staff interviews and record review, the facility failed to implement their policy for COVID-19 vaccinations and to meet the requirement for staff vaccinations when Nursing Assistant (NA) #1 and NA #2 worked without being fully vaccinated and without an exemption. This was for 2 of 7 staff members reviewed for COVID-19 vaccinations. The facility was in outbreak status from 6/11/22 to 7/9/22 and had 4 resident infections from 6/11/22 through 6/20/22 (Residents #14, #16, #22 and #4) with one of those residents experiencing a hospitalization (Resident #16). …
Based on record review and staff interviews the facility failed to meet the staff vaccination requirement when the Director of Housekeeping and Laundry, Laundry Aide #1, and Dietary Aide #1 worked without being fully vaccinated and without an exemption. The facility also failed to implement an effective process for tracking COVID-19 Vaccination Status for 3 of 3 facility staff. The facility went into outbreak status during survey on 07/13/22 when two facility staff and one contract staff and three residents (Residents #46, 45, and 36) tested positive for COVID-19 on 07/13/22.
The findings included:
The facility's *COVID-19 Vaccine* policy with no reviewed date, read in part: It is the policy that all persons be offered the COVID-19 vaccine. …
D · No harm, potential for more than minimal, isolatedJuly 13, 2022
Based on record review and staff interviews, the facility failed to implement their policy for all employees to be vaccinated or have an approved exemption prior to employment and failed to have a process for tracking vaccination status for 2 of 5 staff members (Nurse Aide #11, Nurse Aide #12) reviewed for COVID-19 vaccination of facility staff. The facility was in a new outbreak status due to one staff member testing COVID-19 positive on 6/21/21. All residents tested negative for COVID-19 on 6/22/2022. …
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