Based on staff interview, review of the facility's staff vaccination records, and review of the policy and procedures, the facility failed to ensure 100% of staff were vaccinated against COVID-19, held an exemption, or had a temporary delay. The facility's staff vaccination rate was 99%. The findings were: 1. Review of the facility's vaccination records showed FA #3 was hired on 8/11/22 and had received the first dose of the COVID-19 primary series on 6/13/22. There was no evidence the staff member had received the second dose. 2. Review of the COVID-19 Vaccine policy and procedure, last updated on 4/8/22, showed newly hired employees will have received their first dose of Pfizer or Moderna or singular dose of [NAME] prior to working in the community . …
F888 citations in Wyoming
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
Wyoming cites F888 more often than its own record predicts
6.68 times the share F888 takes of citations nationally.
Of every deficiency written in Wyoming 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 Wyoming surveyors wrote
F888 findings written in Wyoming, 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 staff vaccination records, staff interview, and review of policy and procedure, the facility failed to ensure the development and implementation of additional precautions designed to mitigate the transmission and spread of COVID-19 for all staff who were not fully vaccinated for COVID-19. The census was 39. The findings were: 1. Review of the facility's vaccination records showed 42 employees and 1 volunteer were granted exemptions to the COVID-19 vaccination requirements. The following concerns were identified: a. Review of the policy and procedure titled COVID-19 Vaccine and Healthcare Personnel, last revised 9/2022, showed the policy failed to include additional precautions for staff and volunteers who were not fully vaccinated. …
What else Wyoming surveyors cite →
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