Failure to Document Staff COVID-19 Vaccination Status and Education
Penalty
No penalty information released
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 a system for documenting staff screening, education, offering, and current COVID-19 vaccination status for a 12-month period. During interviews and record reviews, the Administrator and Infection Preventionist acknowledged that they did not have documentation for the current year, stating that all staff had refused the COVID-19 vaccine and only last year's records were available. When requested, the facility provided a general statement and a Vaccine Information Statement but did not supply individual staff records of screening, education, offering, or vaccination status as required.