Failure to Offer and Document Influenza and Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that residents were consistently offered and administered the Influenza and Pneumococcal vaccines as required. Record reviews for four out of five sampled residents revealed that several were not offered the Influenza vaccine, and for those who were, there was no documentation indicating receipt of the vaccine. Similarly, some residents were not offered the Pneumococcal vaccine, and for others, there was no documentation of administration despite being offered. The facility's policy requires annual offering and documentation of these vaccines, including obtaining consent and physician orders, but these steps were not consistently followed. During an interview, the DON, who also serves as the Infection Preventionist, stated she had not checked residents' immunization status and was waiting on a new code from Florida Shots. She also acknowledged that she had not provided education to residents regarding the vaccines, although the facility policy requires staff to complete a form when education is provided. The lack of adherence to policy and incomplete documentation contributed to the deficiency in ensuring residents were properly offered and administered the required vaccinations.