Failure to Document and Offer Pneumococcal Vaccinations per Policy
Penalty
Summary
The facility failed to offer or obtain informed declinations or physician-documented contraindications for the Pneumococcal Conjugate Vaccine (PCV20) and pneumococcal vaccination for three residents. Specifically, clinical records for these residents lacked documentation that PCV20 was offered, that an informed declination was obtained, or that a physician-documented contraindication was present prior to the survey. One resident's record indicated they were not eligible for PCV20, but there was no documentation of the vaccine being offered, a declination, or a contraindication. The facility's immunization report showed previous administration of other pneumococcal vaccines, but not PCV20. The administrative nurse responsible for immunization tracking stated that the facility had not offered PCV20 and would need to consult CDC guidelines regarding eligibility. The facility's policy required offering pneumococcal vaccinations to all residents per CDC guidelines.