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F0883
D

Failure to Adhere to Influenza Vaccine Consent/Declination Procedures

Center Line, Michigan Survey Completed on 04-09-2025

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 follow proper procedures regarding influenza immunization consent and declination for one resident. The resident was admitted to the facility and initially provided written consent to receive the influenza vaccine. Several days later, the same resident signed a declination form for the influenza vaccine. Despite this documented declination, the resident was administered the influenza vaccine four days after declining it. The facility's Influenza Vaccination Guideline did not address the scenario of a resident receiving a vaccine after signing a declination. The DON confirmed that her expectation is for immunizations to be provided according to the most recent acceptance or declination documentation.

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