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F0887
D

Failure to Offer and Document COVID-19 Immunization for Residents

St Joseph, Michigan Survey Completed on 04-16-2025

Penalty

Fine: $186,44029 days payment denial
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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 immunizations were offered and properly documented for two of five residents reviewed. For one resident, there was no record of COVID-19 vaccine administration, education, or consent on file, and the Infection Preventionist confirmed that immunizations had not been discussed upon admission. For another resident, although there was documentation of four prior COVID-19 vaccine doses before admission, there was no documentation of further booster education, declinations, or consents after admission. The Infection Preventionist acknowledged that these discussions and documentation should have occurred at the time of admission, but there was no record of them.

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