Failure to Provide Written Notification of Room Changes and Proper Vaccination Program
Penalty
Summary
The facility failed to administer its operations effectively and efficiently by not ensuring a process was in place for providing written notification to residents or their representatives regarding room changes. Specifically, there was no documented evidence that 38 out of 49 residents who experienced a room change received written documentation explaining the reason for the change. This lack of documentation was confirmed through observation, document review, and interview, and the issue was acknowledged by the Administrator, who stated that the process for written notification was still being monitored and ongoing issues persisted. Additionally, the facility did not have a documented process for its influenza and pneumonia vaccination program. There was no evidence that 38 residents eligible or potentially eligible for the influenza vaccine were screened for eligibility or provided with education about the 2024/2025 flu vaccines. Similarly, for the pneumonia vaccine, there was no documentation that residents were screened for eligibility or provided with education regarding the vaccine they were eligible to receive. The Administrator confirmed that no current action plan was in place for the vaccination program at the time of the survey.