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F0552
D

Failure to Administer RSV Vaccine per Resident Preference

St Croix Falls, Wisconsin Survey Completed on 09-18-2025

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

A deficiency occurred when the facility failed to honor a resident's right to participate in and make informed decisions about her treatment. The resident, who had a medical history including multiple sclerosis, pneumonitis, and a personal history of Covid-19, was offered the Respiratory Syncytial Virus (RSV) vaccine. She indicated her preference to receive the vaccine by checking 'Yes' and signing the Acknowledgement of Receipt of Vaccine Information Sheet. Despite this documented preference, there was no evidence in her electronic health record that the RSV vaccine was administered. During an interview, the facility's Infection Preventionist confirmed that the resident did not receive the RSV vaccine and explained that the facility would have needed to contact the pharmacy to obtain it, as it was not stocked in-house. The Infection Preventionist also acknowledged that the resident should have received the vaccine according to her expressed wishes. This failure to provide the vaccine as requested was not in accordance with the facility's policies on resident rights and self-determination.

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