Failure to Assess and Document Pneumococcal Vaccination Eligibility and Consent
Penalty
Summary
The facility failed to assess two residents for eligibility to receive the pneumococcal PCV20 vaccination and did not offer, obtain informed declination, or secure a physician-documented contraindication for the vaccine as required by CDC guidelines. Review of the clinical medical records for these residents showed no evidence that the facility, the residents, or their representatives received or signed a consent to receive or an informed declination for the pneumococcal vaccine. The records also indicated that no pneumococcal vaccination had been given historically, offered, or declined. An administrative nurse confirmed that there was no system in place to check residents' eligibility status for pneumococcal vaccines at the time of the survey.