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F0887
E

Failure to Offer and Document COVID-19 Vaccination for Eligible Residents

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 COVID-19 vaccinations were offered to eligible residents, as required by their policy and CDC/FDA guidelines. Specifically, three residents with significant medical histories, including conditions such as stroke, Alzheimer's disease, anemia, diabetes, and high blood pressure, did not have documentation in their medical records indicating that they were offered or administered COVID-19 vaccinations beyond 2022. For two residents, the last recorded COVID-19 vaccinations were in October 2022 and March 2022, respectively, with no further information about subsequent offers or administration. For the third resident, there was no documentation of any COVID-19 vaccination being offered or administered at all. Interviews with the Infection Preventionist confirmed that COVID-19 vaccinations are supposed to be offered upon admission and annually as the vaccine changes, but no additional documentation could be provided to show that these three residents were offered the vaccine after 2022. At the time of the survey, all three residents were eligible to receive the COVID-19 vaccination, but the facility lacked evidence that the required education and offer of vaccination had occurred as per policy.

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