Bringing transparency to federal inspections
Tag No.: A0792
Based on review of the facility's COVID vaccination report, policy review, and staff interview, the facility failed to ensure a 100% staff vaccination rate. This had the potential to affect all patients receiving care in the facility. The facility's active census was 363.
Findings include:
Review of the facility policy titled "Required Associate Immunization Program," approval date 01/13/22, revealed the facility will comply to all federal and state guidelines. Associates out of compliance with published deadlines without an approved exemption, will be subject to progressive discipline, up to and including termination. Progressive discipline will occur retrospective to the established deadline for COVID vaccine requirement.
Review of the facility's COVID Vaccination report revealed the facility had an 84.6% employee vaccination completion rate.
Interview on 02/16/22 at 7:55 AM, Staff B confirmed the findings.