F0883

D

Failure to Assess and Offer Pneumococcal Vaccinations on Admission

Belvidere, Illinois Survey Completed on 01-07-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to assess and offer pneumococcal vaccinations upon admission as required by its own policy. Record review on 1/6/26 showed that two residents’ vaccine records contained no information regarding their pneumococcal vaccine status. Admission records indicated both residents had been admitted prior to that date, yet there was no documentation that they had been screened for or offered the pneumococcal vaccine at the time of admission. During interviews, the Infection Prevention Nurse stated that all residents are supposed to be screened on admission for pneumococcal vaccine status and that, if due, the vaccine can be ordered and administered in the facility, with offers continued annually as applicable. However, the Infection Prevention Nurse acknowledged that these two residents had not been offered the pneumococcal vaccine prior to the day of the interview, despite the facility’s Pneumovax Vaccine Policy stating that all guests will be offered the pneumococcal vaccination at the time of move-in.

This failure to follow the established pneumococcal vaccination policy for these two residents at admission, and the lack of documentation of their pneumococcal vaccine status, led to the cited deficiency.