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F0883
D

Failure to Offer and Document Pneumococcal PCV20 Vaccinations per CDC Guidance

Salina, Kansas Survey Completed on 04-23-2025

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 offer or document the offering of pneumococcal PCV20 immunizations to three residents, as required by current CDC guidance. Specifically, one resident's electronic medical record (EMR) showed receipt of a single Prevnar 13 dose in 2015, but lacked documentation regarding any subsequent offer or refusal of further pneumococcal vaccinations. Another resident's EMR also indicated a single Prevnar 13 dose in 2015, with no documentation of additional offers or refusals. A third resident's EMR lacked any information about pneumococcal vaccination or whether the vaccine was offered or refused. During an interview, an administrative nurse acknowledged being unaware of the CDC guidance related to the PCV20 immunization. The facility's policy stated that all residents would be offered pneumococcal vaccines in accordance with current CDC recommendations, but the records reviewed did not reflect compliance with this policy.

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