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F0883
D

Failure to Offer or Document Pneumococcal Vaccinations

Madison, Nebraska Survey Completed on 12-18-2025

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

The facility failed to provide evidence that two residents were up to date with, or had been offered, pneumococcal vaccinations as required by facility policy. According to the policy, all residents should be offered onsite pneumococcal vaccinations annually by October 1. Record review showed that one resident with heart failure, high blood pressure, kidney disease, and moderate cognitive impairment, and another resident with anemia, high blood pressure, diabetes, Alzheimer's disease, dementia, depression, chronic lung disease, and severe cognitive impairment, had not received or been offered the pneumococcal vaccine. There was no documentation in either resident's medical record indicating the vaccine was offered, administered, or declined. Interviews with facility staff confirmed that these residents were not offered the vaccination as required.

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