Failure to Administer Recommended Pneumococcal Vaccine
Penalty
Summary
The facility failed to implement current standards for pneumococcal vaccination for one resident over the age of [AGE]. According to the resident's electronic medical record, the only pneumococcal vaccine received was PPSV23, administered in 2011. The CDC recommends that individuals over a certain age receive at least one dose of PCV15, PCV20, or PCV21 at least one year after the last PPSV23 dose. The resident's immunization record did not show any additional pneumococcal vaccines, and the vaccine consent or declination form did not indicate whether the resident consented to or refused the vaccine. During an interview, the infection preventionist confirmed that all residents should be offered influenza, pneumococcal, and COVID vaccines upon admission, but the facility only provided the influenza vaccine on-site and sent residents out for the other two. The infection preventionist also confirmed that the resident had consented to the pneumococcal vaccine and was due for it, but was not yet on the list to receive it. The facility's immunization policy states that it will follow CDC and state recommendations, but this was not followed in the case of this resident.