Rose View Rehab And Care Center
Inspection Findings
F-Tag F0883
F 0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on clinical record review and staff interview, it was determined that the facility failed to ensure influenza immunization for one of five residents reviewed for immunization concerns (Resident 127) and failed to ensure pneumococcal immunization for one of five residents reviewed for immunization concerns (Resident 108).Findings include: Review of the CDC (Centers for Disease Control) Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2025-26 Influenza Season, revealed that vaccination should ideally be offered
during September or October. However, vaccination should continue after October and throughout the influenza season as long as influenza viruses are circulating and unexpired vaccine is available. Clinical
record review for Resident 127 revealed that the facility admitted her on [DATE REDACTED]. An Influenza Vaccination Informed Consent form (document the facility utilizes to obtain informed consent for vaccination) revealed that Resident 127 initialed consent to the influenza vaccine on [DATE REDACTED]. Review of immunization data in Resident 127's electronic medical record revealed the most recent influenza vaccine received by Resident 127 was dated [DATE REDACTED] (for the 2024 to 2025 influenza season). Staff documented on [DATE REDACTED], that Resident 127 was not eligible for the influenza vaccine because she was not due, that she had it previously. There was no evidence that Resident 127 received the influenza vaccine for the 2025 to 2026 influenza season.
Interview with the Nursing Home Administrator on [DATE REDACTED], at 2:30 PM and [DATE REDACTED], at 9:15 AM and 12:14 PM revealed that the facility had no evidence that Resident 127 received this season's influenza vaccine that she was both eligible for and consented to. Current CDC recommendations to help prevent pneumococcal disease in adults note that there are two types of vaccines recommended: Pneumococcal conjugate vaccines (PCVs: PCV15, PCV20, and PCV21) andPneumococcal polysaccharide vaccine (PPSV23, Pneumovax 23) CDC recommends the administration of the PCV15, PCV20, or PCV21 for all adults [AGE] years old or older who have never received any pneumococcal conjugate vaccine or whose previous vaccination history is unknown. Clinical record review for Resident 108 revealed that the facility admitted her on [DATE REDACTED]. Her date of birth was [DATE REDACTED]. Review of immunization information for Resident 108 revealed that she received the following pneumococcal immunizations: Pneumovax on [DATE REDACTED] (before her admission to the facility at age [AGE]) Pneumovax 23 on [DATE REDACTED] (before her admission to the facility at age [AGE]) Resident 108's medical record contained no evidence that she ever received a PCV immunization.
Interview with the Nursing Home Administrator and the Director of Nursing on [DATE REDACTED], at 9:15 AM confirmed the above findings for Resident 108. 483.80(d)(1)(2) Influenza and Pneumococcal Immunizations Previously cited deficiency [DATE REDACTED] 28 Pa. Code 211.12(d)(1)(5) Nursing services
Residents Affected - Few
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
ROSE VIEW REHAB AND CARE CENTER in WILLIAMSPORT, PA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in WILLIAMSPORT, PA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ROSE VIEW REHAB AND CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.