Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0883
D

Failure to Document and Administer Pneumococcal Vaccine per Policy

Benton, Illinois Survey Completed on 05-22-2025

Penalty

No penalty information released
tooltip icon
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 follow its Pneumococcal Immunization Policy by not ensuring accurate documentation and administration of the pneumococcal vaccine for one resident. The resident, who was moderately cognitively impaired and had diagnoses including type 2 diabetes mellitus and cough, was admitted with unclear vaccination history. The resident's face sheet and continuity of care documents indicated a completed pneumococcal vaccine, but did not specify the type of vaccine administered. Consent for vaccination was obtained from the resident's Power of Attorney, who was unable to recall the resident's prior vaccination history. Staff interviews revealed that vaccination history was typically obtained from the resident, family, or physician, but there was no documentation of communication with the physician regarding the resident's pneumococcal vaccination status. The business office manager attempted to retrieve records from the local hospital, which showed the resident had received PCV13 vaccines on two occasions, but there was no reproducible evidence that the facility itself administered any pneumococcal vaccine. Additionally, the infection prevention nurse was not aware of the specific CDC guidelines or the use of the recommended app for determining vaccine schedules, and could not confirm the resident's vaccination status.

An unhandled error has occurred. Reload 🗙