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F0883
D

Missed Pneumococcal Vaccination Dose

Deerfield, Illinois Survey Completed on 04-23-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to administer a pneumococcal vaccine as required to one of five residents reviewed for immunizations. The resident was admitted to the facility and had documentation of receiving a Pneumococcal Conjugate Vaccine 13 (PCV13) on 10/20/18, but there was no record of a subsequent Pneumococcal Polysaccharide Vaccine 23 (PPSV23) or any documented refusal in the resident's electronic medical record. According to the facility's policy, which aligns with CDC recommendations, a PPSV23 should have been administered one year after the PCV13 for individuals over age 65. The Assistant Director of Nursing confirmed that the second dose was missed and not documented.

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