Failure to Administer Pneumococcal Vaccines per CDC Guidelines
Penalty
Summary
The facility failed to ensure pneumococcal vaccines were administered according to current CDC guidelines for two residents. For one resident with diagnoses including type two diabetes mellitus, COPD, atrial fibrillation, hypertension, and anxiety, the medical record showed the last pneumococcal polysaccharide vaccine (PPSV23) was administered in early 2020. Based on CDC recommendations and the resident's age and medical history, the resident should have been offered a dose of PCV15, PCV20, or PCV21 one year after the PPSV23 immunization, but this was not done. This was confirmed by a registered nurse during an interview. Similarly, another resident with heart failure, Parkinson's disease, type two diabetes mellitus, and dementia received the PPSV23 immunization in mid-2022. According to CDC guidelines, this resident should also have been offered a dose of PCV15, PCV20, or PCV21 one year after the PPSV23 immunization, but this did not occur. The facility's policy stated that pneumococcal vaccines should be administered in accordance with current CDC recommendations, but this was not followed for these two residents.