Failure to Document and Educate Staff on COVID-19 Vaccination
Penalty
Summary
The facility failed to offer and educate staff on COVID-19 vaccinations in accordance with its own policy for six of seven sampled employees. During interviews and record reviews, the Infection Preventionist Nurse (IPN) confirmed that while COVID-19 vaccines and boosters are encouraged, the facility accepts verbal declinations and does not utilize vaccine declination forms or maintain documentation showing that staff were offered and educated about the COVID-19 vaccine for the 2024-2025 season. The Director of Nursing (DON) acknowledged the importance of documenting staff vaccination education and refusals, stating that there should be an employee acknowledgement form indicating education about risks, benefits, and refusal of the vaccine. Review of the facility's undated COVID-19 policy indicated that all staff are required to be fully vaccinated for COVID-19.