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F0887
D

Failure to Document COVID-19 Vaccine Education and Consent

Tallahassee, Florida Survey Completed on 06-05-2025

Penalty

Fine: $66,560
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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 provide documentation that two of five residents received education and were offered a COVID-19 immunization. For one resident, the record indicated a refusal of the COVID vaccine, but there was no signature from the resident or a responsible party to confirm this decision. For another resident, the medical record lacked both documentation of education and a consent or declination form regarding the COVID immunization. During an interview, the DON stated that COVID vaccines are offered yearly in the fall, but the missing documentation for these residents was not provided before the survey exit.

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