Failure to Obtain Documented Consent for COVID-19 Vaccine Refusal
Penalty
Fine: $12,73529 days payment denial
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 obtain documented consent from the responsible party for a resident regarding the refusal of the COVID-19 vaccine. The resident was admitted with one of his sons designated as his responsible party. According to the resident's COVID-19 immunization record, the family refused the vaccine for the resident on a specific date. However, upon review, the infection preventionist was unable to locate any documentation of consent or refusal from the responsible party in the clinical record. The facility's policy requires that residents or their representatives sign a consent form prior to vaccination, provided in a language and format they understand. This requirement was not met in this instance.