Failure to Offer and Document Flu and Pneumonia Vaccinations Upon Admission
Penalty
Summary
The facility failed to ensure that residents were educated on and offered pneumococcal and influenza vaccinations upon admission, as required by policy. Specifically, one resident admitted prior to 3/31/25 with diagnoses including kidney failure, heart disease, and urinary tract infection did not have any documented vaccination history or evidence of being offered or educated about pneumococcal and influenza vaccines. Another resident admitted after 3/31/25 with a history of kidney transplant, chronic kidney disease, and immunodeficiency also lacked documentation of vaccination history or evidence of being offered or educated about pneumococcal vaccination. During interviews and document reviews, it was confirmed that the facility's process included vaccination reconciliation within 48 hours of admission and checking the Minnesota Immunization Information Connection (MIIC) for immunization history. However, for both residents, there was no vaccine data present in their records. The facility's policy required obtaining immunization history upon admission, sharing unknown or incomplete histories with the attending physician, and documenting this information in the electronic medical record, but these steps were not completed for the residents in question.