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F0883
D

Failure to Screen and Document Pneumococcal Vaccination Eligibility

Grand Rapids, Michigan Survey Completed on 05-08-2025

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 ensure that a resident was properly screened for eligibility to receive pneumococcal vaccinations and to document the administration or offer of the vaccine in accordance with facility policy and CDC guidelines. Review of the resident's medical record showed no documentation of screening for pneumococcal vaccination eligibility, and no record that the resident was offered the vaccine as recommended. Although a consent for vaccination was signed in 2022, there was no clear documentation of follow-up screening or administration of the appropriate pneumococcal vaccine. Further review revealed that the resident received two doses of the same pneumococcal polysaccharide vaccine (PPSV23) on separate occasions, but there was no evidence that the facility assessed the need for additional or different pneumococcal vaccines as per current recommendations. The lack of documentation and screening resulted in the resident not being offered the Prevnar 20 (PCV20) vaccine in a timely manner, as required by CDC guidelines for adults of her age and vaccination history.

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