Failure to Identify, Offer, and Document COVID-19 Vaccination and Education
Penalty
Summary
The facility failed to identify, offer, and document COVID-19 vaccination status and education for three residents with various medical conditions, including cellulitis, lymphedema, diabetes, end stage renal disease, protein calorie malnutrition, Alzheimer's disease, rheumatic tricuspid insufficiency, and chronic kidney disease. For each resident, the care plans and electronic health records did not reflect COVID-19 vaccination status, documentation of vaccine education, or evidence that the vaccine was offered. Additionally, there were no physician orders related to COVID-19 vaccination for these residents. During an interview and review of records with the Infection Preventionist, it was confirmed that the vaccination status and education for these residents had not been obtained or provided, and none of the residents appeared on the vaccination log. The Infection Preventionist indicated that staff were no longer required to offer or track COVID-19 vaccination for residents. This was inconsistent with the facility's own policy, which required education, offering the vaccine, and documentation of these actions.