Failure to Administer COVID-19 Vaccine After Consent
Penalty
Summary
The facility failed to ensure that the COVID-19 vaccine was administered to a resident who had provided consent for vaccination. According to the facility's policy and procedure, all eligible residents are to be offered and administered the COVID-19 vaccine unless medically contraindicated, already given, or refused. Medical record review for the resident showed that the responsible party had signed a consent form for the COVID-19 vaccine, but there was no documentation in the resident's immunization records indicating that the vaccine was administered. During an interview and concurrent medical record review with the Infection Preventionist (IP), it was confirmed that the consent for vaccination was present in the record, but there was no evidence that the vaccine had been given after consent was obtained. The lack of documentation and administration of the vaccine was verified by the IP, indicating a failure to follow the facility's established protocol for COVID-19 immunization.