cms_GA: 147
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
147 | BROWN HEALTH AND REHABILITATION | 115090 | 545 COOK STREET | ROYSTON | GA | 30662 | 2018-08-09 | 883 | D | 0 | 1 | ST5L11 | **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on medical record review, staff interviews and review of the facility policy titled Immunizations: Pneumococcal Vaccination (PPV) of Residents, the facility failed to offer the pneumonia vaccine to two residents (R) R#15 and R#40 of five residents reviewed for the pneumonia vaccine. The sample size was 34 residents. Findings include: Review of the clinical record for R#15 revealed the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. There was no indication that the pneumonia vaccine was offered or administered to the resident. Review of the clinical record for R#40 revealed the resident was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. There was no indication that the pneumonia vaccine was offered or administered to the resident. Review of the facility policy titled Immunizations: Pneumococcal Vaccination (PPV) of Residents reviewed and updated (MONTH) (YEAR), procedural guidelines state that all residents of our facility should receive the Pneumococcal vaccine if they are [AGE] years of age or older or younger than [AGE] years with underlying conditions that are associated with increase susceptibility to infection or increase risk for serious disease and its complications. Each residents Pneumococcal immunization status will be determined upon admission or soon afterwards, and will be documented in the resident's medical record. All residents with undocumented or unknown Pneumococcal vaccination status will be offered the vaccine. Informed consent in the form of a discussion regarding risk and benefits of vaccination will occur prior to vaccination. Interview on 8/8/18 at 11:35 a.m. with Infection Control nurse, stated she only works 16 hours per week. She stated that for the influenza/Pneumonia vaccinations, she gets consents for each residents. She was sending letters to the family and the family was to contact the facility for refusal. She stated that she was unable to find any documentation on the pneumonia vaccine for R#15 and R#40. She stated that she noticed that the facility was behind on the pneumonia vaccines; but that time last year was around the Scabies outbreak, and the facility focused on getting the residents treated for [REDACTED]. Interview on 8/9/18 at 7:40 p.m., with Administrator, stated she had done a facility audit in (MONTH) (YEAR) of residents in facility who had been given the pneumonia vaccine or refused the vaccine. She stated that approximately 50 residents were offered or administered the vaccine. She does not have a reason why the pneumonia vaccine wasn't offered or given to the other residents. | 2020-09-01 |