Failure to Offer and Document Annual Influenza Vaccinations
Penalty
Summary
The deficiency involves the facility’s failure to ensure that annual influenza immunizations were offered and documented for two residents who had provided consent. For Resident D, record review showed an immunization consent form signed and dated 7/16/25 indicating consent to receive the influenza vaccine. The immunization history showed the last influenza vaccine was administered on 10/27/21. There was no documentation in Resident D’s record that the influenza vaccine was administered, refused, or medically contraindicated during 2025. For Resident G, record review showed an immunization consent form signed and dated 10/30/25 indicating consent to receive the influenza vaccine. The immunization history showed the last influenza vaccine was administered on 10/7/19. Resident G’s record contained no indication that the influenza vaccine was administered, refused, or medically contraindicated during 2025. The facility’s policy stated that all residents would be offered vaccines unless medically contraindicated or already vaccinated, and that influenza vaccines could be administered per physician-approved protocol after assessment for contraindications. The ICP stated that, after consent, a physician’s order should be obtained and documentation of administration or refusal should appear in the record, and RN 7 reported there was no record that the influenza vaccine was offered to these two residents.
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