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F0887
E

Failure to Educate and Offer COVID-19 Vaccine to Eligible Residents

South Boston, Virginia Survey Completed on 05-22-2025

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

Facility staff failed to provide education and offer the COVID-19 vaccine to three residents selected for immunization review. Clinical record reviews for these residents showed no documentation of COVID-19 vaccination status, education regarding the benefits and risks of the vaccine, or evidence that the vaccine had been offered. The infection preventionist (IP) confirmed during interview that she had not discussed immunization with the residents and that information from the state immunization portal was not entered into the clinical record. The IP also stated that she tracks immunization status using the state portal and records it in the electronic health record, but did not document education or offers of vaccination as required by facility policy. The facility's policy requires that vaccination history, education, and consents or refusals be documented in the health record, and that the IP is responsible for ensuring this process. For the three residents in question, there was no evidence in their records of any COVID-19 vaccine education or offer, despite at least two being eligible or overdue for vaccination according to the state immunization system. The deficiency was confirmed through staff interviews, record reviews, and review of facility policy.

See complete original report
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