Failure to Administer COVID-19 Vaccine After Consent Obtained
Penalty
Summary
The deficiency involves the facility’s failure to ensure administration of a COVID-19 vaccination to an eligible resident after consent was obtained. One resident over the age of 65, with multiple diagnoses including systemic lupus erythematosus, was admitted to the facility and had a COVID-19 vaccination consent form dated 9/30/25, on which her POA signed informed consent for her to receive the COVID-19 vaccine. A progress note dated 10/25/25 at 1:33 PM documented that the COVID-19 vaccine was not available and that the pharmacy was contacted. Record review by the DON and the Regional Resource Nurse on 1/22/26 showed no documentation that the COVID-19 vaccine was ever administered to this resident. The DON confirmed that the only documentation present was the progress note indicating the vaccine was not available and that there was no evidence the vaccination had been rescheduled. This failure occurred despite CDC guidance stating that protection from COVID-19 vaccines and immunity after infection decrease over time and that the 2025–2026 vaccine is especially important for individuals 65 years and older and those living in LTC facilities.
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