Failure to Document and Offer Influenza and Pneumococcal Vaccines
Penalty
Summary
The facility failed to ensure accurate documentation and proper administration of influenza and pneumococcal vaccines for multiple residents. Specifically, five out of ten residents reviewed did not have their vaccination status accurately documented. Four residents were not offered the pneumococcal vaccine, and six residents were not assessed or documented for the influenza vaccine. In one case, the facility did not check the Delvax system, which showed that a resident had already received the influenza vaccine, and failed to offer the recommended PCV20 pneumococcal vaccine as per CDC guidelines. There was no evidence in the electronic medical records that these vaccines were assessed, offered, or declined for the affected residents. When documentation was requested, the facility was unable to provide evidence of vaccination or declination for the residents in question. During an interview, the DON stated that the facility was between infection preventionists, with a new IP scheduled to start at the end of May. These findings were reviewed with facility leadership during the exit conference.