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F883: Develop and implement policies and procedures for flu and pneumonia vaccinations

F883 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Develop and implement policies and procedures for flu and pneumonia vaccinations. It sits in CMS's infection control category.

2,946citations in the CMS files
2,599homes cited at least once
517in the 12 months to September 2026
0.3%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 7.3% of F883 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)2 (0.1%)
  • Actual harm (G, H, I)8 (0.3%)
  • Potential for more than minimal harm (D, E, F)2,917 (99.0%)
  • Potential for minimal harm (A, B, C)19 (0.6%)

By letter: B 10, C 9, D 1,923, E 961, F 33, G 7, H 1, K 1, L 1.

What inspectors wrote

Three recent F883 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity EBased on facility policy, clinical record review and staff interview, it was determined that the facility failed to provide accurate and timely documentation related to the Pneumonia vaccine for three of five residents (Resident R4, R26, and R72).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, July 31, 2026, scope and severity EBased on interview and document review, the facility failed to consistently educate, offer, or administer influenza and pneumococcal immunizations for 3 of 5 residents (R14, R48, R54) reviewed for immunizations.

Heritage Manor, Chisholm, MN

Inspectors wrote, July 30, 2026, scope and severity EBased on record review, interview, and policy review, the provider failed to minimize the risk of residents acquiring and transmitting pneumococcal disease by ensuring that three of five sampled residents (35, 56, and 60) were offered the pneumococcal vaccination.

Firesteel Healthcare Center, Mitchell, SD

Most recent F883 citations at the harm or jeopardy level

Newest first, all 10 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
March 5, 2025La Bella of RochelleRochelle, IL GStandard
March 4, 2025Gogebic Medical Care FacilityWakefield, MI GStandard
January 16, 2025Park Avenue Healthcare & Wellness CenterPomona, CA KComplaint
May 2, 2024The Laurels of Carson CityCarson City, MI GStandard
March 29, 2024Willow Point Rehabilitation and Nursing CenterVestal, NY LStandard
March 21, 2024Camdenton Windsor EstatesCamdenton, MO GStandard
March 15, 2024McNaughten Pointe Nursing and RehabColumbus, OH GStandard
January 11, 2024Elderwood at BurlingtonBurlington, VT GStandard
June 15, 2023Beloit Health and Rehabilitation CenterBeloit, WI GStandard
September 29, 2022Brunswick Health Care CenterBrunswick, MO HStandard

Most recent F883 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA E
July 31, 2026Centre Care Rehabilitation and Wellness ServicesBellefonte, PA E
July 31, 2026Heritage ManorChisholm, MN E
July 30, 2026Firesteel Healthcare CenterMitchell, SD E
July 30, 2026Saint Anne HomeGreensburg, PA D
July 30, 2026River Bend Nursing CenterWest Sacramento, CA D
July 29, 2026Zumbrota Care CenterZumbrota, MN D
July 28, 2026Accura Healthcare of FranklinFranklin, NE D
July 24, 2026Sweden Valley ManorCoudersport, PA E
July 23, 2026Mountain Laurel Healthcare and Rehabilitation CtrClearfield, PA D
July 23, 2026Lake Minnetonka ShoresSpring Park, MN D
July 22, 2026The Emeralds at Fairbault LLCFaribault, MN E
July 22, 2026Locust Grove VillageLa Crosse, KS D
July 21, 2026Vancrest-Upper ValleyTroy, OH E
July 17, 2026The Villas at RobbinsdaleRobbinsdale, MN D
July 16, 2026Maria Joseph Living Care CenterDayton, OH D
July 16, 2026Northern Montana Care CenterHavre, MT D
July 16, 2026Regency at Grand BlancGrand Blanc, MI D
July 16, 2026Ams Memorial-GreeneGreene, IA D
July 16, 2026Palatka Center for Rehabilitation and HealingPalatka, FL D
July 16, 2026Bay Vista Healthcare & Wellness Centre, LPLong Beach, CA D
July 14, 2026Medicalodges PaolaPaola, KS D
July 13, 2026Alpine Nursing Home IncCoventry, RI E
July 13, 2026Rolling Hills Rehab and Care CtrBridgeport, OH E
July 10, 2026The Dalles Health and RehabilitationThe Dalles, OR D

F883 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California276
Illinois239
Minnesota207
Ohio170
Missouri157
Massachusetts135
Michigan122
Pennsylvania119
Kansas118
Wisconsin115
Virginia95
Connecticut87
Washington77
Maryland73
Iowa70
Indiana70
North Carolina63
New Jersey58
Florida52
Oklahoma51
Colorado42
West Virginia41
Georgia39
Maine37
New York37
Oregon37
Texas32
Utah30
Idaho28
Arkansas26
Nevada26
Montana22
Louisiana18
New Mexico17
Wyoming16
South Carolina15
Rhode Island14
Delaware13
Hawaii12
Kentucky12
New Hampshire12
Arizona11
Nebraska11
Mississippi8
Tennessee8
District of Columbia6
Alaska5
South Dakota5
North Dakota4
Vermont3
Alabama2
Puerto Rico2
Guam1

By inspection year: 2018 6, 2019 39, 2020 28, 2021 59, 2022 214, 2023 630, 2024 921, 2025 688, 2026 361.

Common questions

What is F883 in a nursing home inspection?
F883 is the federal requirement to "develop and implement policies and procedures for flu and pneumonia vaccinations". CMS files it under infection control. A home cited under F883 did not meet that requirement at the inspection.
How often is F883 cited?
The CMS files as of September 1, 2026 list 2,946 F883 citations at 2,599 nursing homes, 517 of them in the 12 months to that date. 0.3% were rated as actual harm or immediate jeopardy.
Is a F883 citation serious?
It depends on the letter. Most F883 citations (99.0%) were rated as potential for more than minimal harm, D to F. 2 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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