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F0887
E

Failure to Offer and Document Current COVID-19 Vaccinations

Millersburg, Pennsylvania Survey Completed on 06-12-2025

Penalty

No penalty information released
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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 failed to ensure that residents were offered the most current COVID-19 vaccinations as required. Facility policy and CDC guidance both require that residents be encouraged to stay up-to-date with COVID-19 vaccines, be provided with education about the vaccine, and have their vaccination status properly documented. Clinical record reviews for four residents showed that either the most recent COVID-19 vaccine (2024-2025) was not offered or there was no documentation of education or offer of the vaccine. Specifically, three residents had only received the Fall 2023 vaccine, and one resident had no documentation of ever being offered or receiving any COVID-19 vaccine. Further review of the clinical records for these residents did not reveal any evidence that they were educated on or offered the most recent COVID-19 vaccine. During an interview, the Infection Preventionist/Assistant DON confirmed the accuracy of the vaccination dates and was unable to explain why the most recent vaccines had not been offered. The Nursing Home Administrator was also made aware of the issue but did not provide additional information.

See complete original report
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