Lack of Documentation for Pneumonia Vaccine Education
Penalty
No penalty information released
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 education regarding the risks and benefits of the pneumonia vaccine to two residents who refused the immunization. During a review of five residents' immunization records, it was found that both residents had documented refusals for the pneumonia vaccine, but there was no evidence in the medical records indicating when the vaccine was offered or that any education about the vaccine's risks and benefits was provided. In an interview, the DON confirmed that education should be given and documented for refusals, but acknowledged that such documentation was not present for these residents.