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F0883
E

Failure to Offer Pneumonia Immunizations Due to Lack of Policy

Broken Arrow, Oklahoma Survey Completed on 08-28-2025

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 offered pneumonia immunizations as required, as evidenced by the review of medical records for two of five sampled residents. Physician orders for both residents indicated they were to be offered pneumonia immunizations if indicated, but their medical records did not show that the immunizations had been received or offered. During interviews, the infection preventionist confirmed that the facility did not have a policy regarding pneumonia immunizations and had not been offering them consistently to residents. The DON also acknowledged the absence of a policy and the lack of consistent offering of pneumonia immunizations to residents.

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