F0887

E

Failure to Administer COVID-19 Vaccine After Obtaining Resident Consent

Washington, Pennsylvania Survey Completed on 01-29-2026

Penalty

No penalty information released

Summary

The facility failed to implement its COVID-19 vaccination program in a timely manner for multiple residents after obtaining consent for vaccination. Facility policy titled "Infection Control - Covid 19 Care and Management Policy, Section Vaccinations" dated 1/6/26 stated that residents are encouraged to remain up to date with all recommended COVID-19 vaccine doses and that newly admitted residents’ vaccination status is to be determined and a vaccine offered as recommended. Review of resident education and consent documents showed that residents and/or their responsible parties were educated about the COVID-19 vaccine and consent forms were completed on 9/29/25, 9/30/25, and upon admission during the period of 12/22/25 through 1/7/26. During this timeframe, 48 resident consent forms were completed for administration of the vaccine.

However, review of the electronic medication administration records revealed that the facility did not administer the COVID-19 vaccine at the time the consent forms were completed, and the vaccinations were not provided as consented. This failure affected 30 of 105 residents on 9/29/25, five of 108 residents on 9/30/25, 10 residents admitted between 12/22/25 and 1/7/26, and three residents whose consent forms were undated. During an interview on 1/28/26 at 12:15 p.m., the DON confirmed that as of that date, the facility had failed to provide 48 residents the COVID-19 vaccine despite having obtained consent from the residents or their responsible parties, in violation of 28 Pa Code: 201.18(b)(1) Management.