Failure to Implement Corrective Action for Vaccination Screening and 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's Quality Assurance and Performance Improvement (QAPI) committee did not implement corrective actions after identifying a problem with the lack of screening and education for influenza and pneumococcal vaccinations. During a QAPI review, the Administrator acknowledged that the issue had been recognized but confirmed that no steps had been taken to address the deficiency. Facility policy states that the Quality Assessment and Assurance (QAA) committee is responsible for identifying and responding to quality deficiencies, but in this instance, the committee failed to act on the identified concern regarding vaccination screening and education.