Failure to Provide and Document COVID-19 Vaccine Education
Penalty
Summary
The facility failed to provide and document education regarding the benefits and potential side effects of the COVID-19 vaccine to residents or their representatives prior to immunization. Review of clinical records for seven residents who received the COVID-19 vaccine showed no evidence that such education was provided or documented. The facility's policy indicated that education would be provided, particularly in cases of vaccine declination, referencing CDC guidelines. However, interviews with staff revealed that education on the risks and benefits of the COVID-19 vaccine was not routinely completed unless a resident declined the vaccine. Documentation for each of the seven residents who received the COVID-19 vaccine did not include any record of education being provided about the immunization. This lack of documentation and provision of education was confirmed through review of facility records and staff interviews. The deficiency was cited under 28 Pa Code 201.18(b)(1)(d) Management and 28 Pa Code 211.12(c)(d)(1) Nursing services.