Failure to Administer Pneumococcal Vaccine to Eligible Resident
Penalty
Summary
A deficiency was identified when an eligible resident was not provided a pneumococcal vaccine as recommended by the CDC. The resident was admitted for rehabilitation with multiple diagnoses, including fractured ribs, anemia, coronary artery disease, diabetes mellitus, and hypertension. Upon review of the resident's electronic medical record and the Michigan Care Improvement Registry, it was found that the last pneumococcal vaccine was administered several years prior, and the resident was overdue for the recommended vaccination. The admission consent checklist indicated that the resident had consented to receive the pneumococcal vaccine if due. Despite the facility's policy and the Director of Nursing's statement that all new admissions who consent to vaccination should receive it within the first week and no later than 14 days after admission, the resident had not received the pneumococcal vaccine during their stay. The facility's policy outlined the procedures for offering and administering the vaccine based on current vaccination status and practitioner recommendation, but these procedures were not followed in this case.