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F0883
E

Failure to Provide and Document Vaccine Education

Monroeville, Pennsylvania Survey Completed on 06-13-2025

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 provide and document required education regarding COVID-19, influenza, and pneumococcal vaccinations for several residents, as outlined in its own policies. Specifically, three residents received the COVID-19 vaccine, two residents received or refused the influenza vaccine, and five residents received the pneumococcal vaccine without documented evidence that education on the benefits, risks, and potential side effects was provided prior to vaccination. These findings were confirmed through clinical record reviews, which showed that the education was not completed or documented for the affected residents. Interviews with the Nursing Home Administrator and Regional Administrator further confirmed that the facility did not provide or document the necessary vaccine education for the identified residents. The deficiency was cited under 28 Pa. code: 211.5(f) Clinical Records, as the facility's failure to follow its own policies resulted in incomplete documentation and lack of education for residents regarding their vaccinations.

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