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F0883
E

Failure to Offer and Administer Required Vaccinations

Sandy, Utah Survey Completed on 04-16-2025

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 properly offered and administered influenza, pneumococcal, and COVID-19 vaccines as required. Specifically, two residents had signed consent forms indicating their acceptance of the 2024/2025 COVID-19 booster, but there was no documentation that the booster was administered to them. Additionally, one resident did not have any documentation showing that they were offered the influenza or COVID-19 booster vaccines for the 2024/2025 season. These findings were based on interviews and record reviews conducted by surveyors. The residents involved had various medical conditions, including epilepsy, chronic systolic heart failure, and Alzheimer's disease. The facility's process included obtaining vaccination consents during admission and pre-ordering vaccines, but the records reviewed did not show that the required vaccines were offered or administered as indicated by the residents' consents. The Regional Nurse Consultant confirmed the lack of documentation and administration for the affected residents.

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