F0883

D

Failure to Offer and Document Pneumococcal and Influenza Vaccinations for Eligible Residents

Saint Louis, Missouri Survey Completed on 03-13-2026

Penalty

No penalty information released

Summary

Surveyors identified a deficiency in the facility’s implementation of its pneumococcal and influenza vaccination policies. The facility’s written policies, last revised in June 2020, require that all eligible residents be offered pneumococcal and annual influenza vaccines, receive education on benefits and potential side effects, and that informed consent or refusal, as well as vaccine administration, be documented in the medical record. Record review showed that these steps were not followed for several residents, despite the policies specifying that refusals and any education provided must be documented.

For one resident with heart failure, COPD, and kidney disease, and another resident with COPD and high blood pressure, there was no documentation that the pneumococcal vaccine was received, offered, or that vaccine education was provided. For a third resident with kidney disease, Parkinson’s disease, Myasthenia Gravis, diabetes, and bladder cancer, there was no documentation that the influenza vaccine was received, offered, or that vaccine education was provided. During interview, the DON/IP confirmed that all residents should be offered influenza yearly and pneumococcal vaccine if eligible, and that all offers, refusals, education, and administrations should be documented in the medical record, which did not occur for these residents.