Based on review of Centers for Medicare and Medicaid Services (CMS) Quality Safety & Oversight (QSO) Memo ,d+[DATE]-ALL Attachment A for Long Term Care (LTC) Facilities issued [DATE], medical record review, review of a Coronavirus Disease 2019 (COVID-19) line listing, interview with staff, review of the COVID-19 vaccination matrix, review of staff schedules, observations, review of a facility floor plan, review of information from CMS and review of a facility policy and procedure, the facility failed to ensure 100% of their staff had received at least one dose of the COVID-19 vaccine or had a pending request for, or had been granted a qualifying exemption, or were identified as having had a temporary delay as recommended by the Centers for Disease Control (CDC). …
F888 citations in Ohio
Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Ohio cites F888 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio in 2023, this is the portion that was F888.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Ohio surveyors wrote
F888 findings written in Ohio, 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.
Based on review of the staff vaccination matrix, staff interview, and facility policy review, the facility failed to ensure all staff were vaccinated against the COVID-19 virus or had a valid exemption on file prior to working in the facility. This had the potential to affect all 59 residents who resided in the facility. Findings Include: Review of the Staff Vaccination Matrix dated 03/15/23 revealed Dietary #180 was listed as unvaccinated. The facility had a total of 84 staff and 83 staff were either vaccinated or had a religious exemption on file. Interview on 03/14/23 at 1:34 P.M. with the Director of Nursing (DON) revealed the facility had a total of 84 staff; 19 staff had religious exemptions on file. One staff, Dietary #180 was unvaccinated. …
Based on staff interview, review of the staffing schedule, review of the Staff Coronavirus Disease 2019 (COVID-19) Vaccination Matrix, review of the facility policy, and review of the Centers of Medicare and Medicaid Services (CMS) memorandum QSO-23-02-ALL, the facility failed to ensure staff were COVID-19 vaccinated, had an approved exemption, or had been identified as appropriate for a temporary delay per Center for Disease Control and Prevention (CDC) guidance. The vaccination rate for the facility was calculated at 98.8%. This had the potential to affect all 24 residents currently residing in the facility. …
What else Ohio surveyors cite →
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