Failure to Assess and Offer COVID-19 Vaccine to Newly Admitted Residents
Penalty
Fine: $17,345
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 assess and offer the COVID-19 vaccine to three out of ten residents reviewed for vaccination. Specifically, for residents admitted on 4/14/25, 2/26/25, and 2/27/25, there was no evidence in their electronic medical records that the facility had assessed or offered the COVID-19 vaccine. Additionally, when documentation was requested, the facility was unable to provide evidence of vaccination or declination for these residents. During an interview, the Director of Nursing stated that the facility was between full-time infection preventionists, with a new infection preventionist scheduled to start at the end of May. These findings were reviewed with facility leadership during the exit conference.