Failure to Offer Required Pneumococcal Vaccination
Penalty
Summary
The facility failed to ensure that a resident was offered a pneumococcal immunization in accordance with its own policy and current CDC recommendations. Specifically, the facility's policy required that all residents be educated about and offered pneumococcal vaccination upon admission and annually, with documentation of consent or declination. For one resident, there was no documentation that the recommended dose of PCV20 or PCV21 was offered, despite the resident having previously received Prevnar 13 and Pneumovax 23, and being due for an additional dose based on CDC guidelines. During an interview, the Infection Preventionist and Director of Nursing confirmed that the resident was not up to date with pneumococcal vaccinations and had not been offered the required dose. The Director of Nursing acknowledged that the vaccination should have been offered according to current guidance. This lack of action was identified through both record review and staff interviews, demonstrating a failure to follow established immunization protocols for the resident.