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F0883
E

Failure to Offer and Document Pneumococcal Vaccinations per CDC Guidelines

Waterville, Maine Survey Completed on 12-11-2025

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 pneumococcal vaccinations in accordance with CDC recommendations, as required by facility policy. Record review and interviews revealed that two residents were not properly assessed or documented for pneumococcal vaccination status within the required timeframe. For one resident, a consent form for the Prevnar20 vaccine was present in the paper chart and signed, but the form was left blank regarding whether the vaccine was accepted or declined, and there was no evidence in the clinical record that the vaccine was offered, administered, or refused. For another resident, the clinical record lacked any documentation indicating that the pneumococcal vaccine was offered, administered, or refused. These findings were confirmed during an interview with the Infection Preventionist.

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