Failure to Offer and Document COVID-19 Vaccination for Residents
Penalty
Summary
The facility failed to ensure that residents were properly offered and documented for the COVID-19 vaccine, as evidenced by record reviews and interviews. Specifically, three out of five sampled residents were not managed according to facility policy: one resident was not offered the COVID-19 vaccine at all, while two others were offered the vaccine but had no documentation indicating whether they received it. The facility's policy requires that all residents be offered the COVID-19 vaccine and any eligible boosters, with proper documentation of administration, consent, or declination in the medical record. During an interview, the DON, who also serves as the Infection Preventionist, stated she had not checked any residents' immunization status and was waiting on a new code from Florida Shots. She also acknowledged that she had not provided education to any residents regarding the COVID-19 vaccine, despite the existence of a form for documenting such education. The facility's policy outlines specific procedures for offering, obtaining consent, and documenting immunizations, which were not followed in these cases.