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F887: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status

F887 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. It sits in CMS's infection control category.

1,343citations in the CMS files
1,252homes cited at least once
425in the 12 months to September 2026
0.5%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). 8.9% of F887 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)1 (0.1%)
  • Actual harm (G, H, I)6 (0.4%)
  • Potential for more than minimal harm (D, E, F)1,329 (99.0%)
  • Potential for minimal harm (A, B, C)7 (0.5%)

By letter: B 2, C 5, D 763, E 449, F 117, G 6, J 1.

What inspectors wrote

Three recent F887 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 31, 2026, scope and severity EBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to maintain required documentation of staff COVID-19 immunization status for three of three staff reviewed for COVID-19 immunizations (Employees 6, 21, and 22); and failed to maintain documentation of resident COVID-19 immunization status for two of five residents reviewed for immunization concerns (Residents 11 and 175).

Centre Care Rehabilitation and Wellness Services, Bellefonte, PA

Inspectors wrote, July 31, 2026, scope and severity DBased on interview, facility document review, and facility P&P review, the facility failed to maintain staffing documentation of the education regarding the risks and benefits and the offering of the COVID-19 vaccine. * CNA 1 was not provided education regarding the risks, benefits and not offered the COVID-19 vaccine . In addition, the facility failed to ensure accurate tracking of CNA 1's vaccination status as per the facility's P&P. This failure placed the residents and staff members at risk for increased risk of infection and transmission of COVID-19.

South Coast Post Acute, Santa Ana, CA

Inspectors wrote, July 30, 2026, scope and severity DBased on interview and record review, the facility failed to offer a Covid-19 vaccination to one resident (R113) out of five reviewed for Covid-19 immunizations.

Medilodge of Port Huron, Fort Gratiot, MI

Most recent F887 citations at the harm or jeopardy level

Newest first, all 7 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 28, 2026Mineral Point Health ServicesMineral Point, WI GStandard
April 8, 2026Woodlands Health and Rehab CenterRavenna, OH GComplaint
March 3, 2026Greentree of Hubbell Rehabilitation and HealthHubbell, MI GStandard
February 12, 2026Norton Community Hospital SNF UnitNorton, VA GStandard
January 29, 2026Lamar Estates Nursing CenterLamar, CO JStandard
February 11, 2025Accord Care Community Orrville LLCOrrville, OH GComplaint
October 25, 2023The Laurels of KentLowell, MI GStandard

Most recent F887 citations

InspectionHomeTownLetter
July 31, 2026Centre Care Rehabilitation and Wellness ServicesBellefonte, PA E
July 31, 2026South Coast Post AcuteSanta Ana, CA D
July 30, 2026Medilodge of Port HuronFort Gratiot, MI D
July 29, 2026Parkway Operator LLCEdwardsville, KS E
July 28, 2026Accura Healthcare of FranklinFranklin, NE D
July 24, 2026Sweden Valley ManorCoudersport, PA E
July 22, 2026The Emeralds at Fairbault LLCFaribault, MN E
July 21, 2026Vancrest-Upper ValleyTroy, OH F
July 17, 2026The Gardens Healthcare CenterNorthridge, CA D
July 16, 2026Villa Del RioBell Gardens, CA E
July 16, 2026Regency at Grand BlancGrand Blanc, MI D
July 16, 2026Ams Memorial-GreeneGreene, IA F
July 15, 2026Oakview Nursing HomeConrad, IA E
July 15, 2026Pacific Haven Subacute and Healthcare CenterGarden Grove, CA D
July 14, 2026Medicalodges PaolaPaola, KS D
July 8, 2026Menno Haven Rehabilitation CenterChambersburg, PA D
July 8, 2026River Oaks Nursing & Rehabilitation Center LLCBaker, LA F
July 8, 2026Diversicare of Council GroveCouncil Grove, KS E
July 2, 2026Majestic Care of LakinWest Columbia, WV E
July 2, 2026High Valley LodgeSunland, CA D
July 1, 2026Wyoming Retirement CenterBasin, WY E
July 1, 2026Aria at Mitchell ManorWest Allis, WI D
July 1, 2026Prestige Care Center of FairfieldFairfield, IA E
June 29, 2026Mt. Olympus Rehabilitation CenterSalt Lake City, UT E
June 29, 2026Livingston Health & Rehabilitation CenterLivingston, MT E

F887 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
California177
Illinois94
Ohio81
Massachusetts69
Michigan66
Virginia66
Pennsylvania65
Washington59
Maryland49
Wisconsin45
Missouri44
Indiana36
Connecticut34
Iowa33
North Carolina31
Minnesota29
Kansas27
Oklahoma26
Florida22
Nevada21
Georgia19
New York19
West Virginia19
Utah18
Texas16
Maine15
New Mexico15
Oregon15
Montana14
Nebraska12
New Jersey12
New Hampshire10
Arkansas9
Vermont9
Kentucky8
Colorado7
Delaware7
Louisiana7
District of Columbia6
Tennessee6
Hawaii5
Idaho5
Mississippi3
Wyoming3
Alaska2
Arizona2
Guam2
Puerto Rico2
Alabama1
South Carolina1

By inspection year: 2021 15, 2022 83, 2023 184, 2024 346, 2025 393, 2026 322.

Common questions

What is F887 in a nursing home inspection?
F887 is the federal requirement to "educate residents and staff on covid-19 vaccination, offer the covid-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status". CMS files it under infection control. A home cited under F887 did not meet that requirement at the inspection.
How often is F887 cited?
The CMS files as of September 1, 2026 list 1,343 F887 citations at 1,252 nursing homes, 425 of them in the 12 months to that date. 0.5% were rated as actual harm or immediate jeopardy.
Is a F887 citation serious?
It depends on the letter. Most F887 citations (99.0%) were rated as potential for more than minimal harm, D to F. 1 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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