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F0887
E

Failure to Track and Document Staff COVID-19 Vaccination Status

Lewistown, Pennsylvania Survey Completed on 05-09-2025

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 maintain and document the COVID-19 vaccination status of its staff as required. During an interview, the Infection Preventionist (a registered nurse) acknowledged that she was not tracking staff vaccination status and had no evidence of offering the COVID-19 vaccine to staff members. Instead of individually offering the vaccine, the facility posted signs near the time clock and in the employee breakroom instructing interested staff to seek vaccination from their primary care physician or local pharmacy. This lack of individualized tracking and documentation was confirmed when the surveyor requested vaccination information and none could be provided for the staff reviewed.

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