Eastview Health and Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility did not ensure all drugs and biologicals were stored and labeled in accordance with currently accepted professional principles for 1 of 16 residents (R37) reviewed.R37's olanzapine medication label did not match physician's orders.This is evidenced by:Facility policy titled, Labeling of Medications and Biologicals, with a reviewed date of 11/12/2024, states: Policy: All medications and biologicals used in the facility will be labeled in accordance with current state and federal regulations to facilitate consideration of precautions and safe administration of medications. Policy Explanation and Compliance Guidelines: .4. Labels for individual drug containers must include: a. the resident's name; b. The prescribing physician's name; c. the medication name; d. the dose, strength, and quantity of the medication; .g. appropriate instructions and precautions.12. The pharmacy must be informed of any order changes or changes in directions for the use of the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility did not ensure residents received routine dental services for 1 of 2 residents (R32) reviewed.R32 has not had routine dental services since admission in 2023.This is evidenced by:Facility policy titled, Dental Services, with a reviewed date of 11/12/24, states: Policy: It is the policy of this facility to assist residents in obtaining routine (to the extent covered under the State plan) and emergency dental care. Definitions: 'Routine dental services' means an annual inspection of the oral cavity for signs of disease, diagnosis of dental disease.taking impressions for dentures and fitting dentures.8. For residents or resident representatives who do not wish to be referred for dental services: a. The physician shall be notified. b. The dietician shall be consulted to assess for any necessary change in diet. c. The resident's plan of care will be revised to reflect preferences. 9. All actions and information regarding dental services, including any delays related…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and record review, the facility did not ensure care and treatment provided were consistent with professional standards of practice and resident preference for 2 residents (R) (R1 and R2) of 7 sampled residents.R1 sustained a wound on the right knee during a fall on 2/26/26. Staff did not monitor the wound since it was identified.R2 had a U shaped scar on the left back. Staff and R1's family indicated the area was bruised and had drainage in the recent past. R2's medical record did not contain documentation regarding the area.Findings include: The facility's Wound Treatment Management policy, revised 12/3/24, indicates: To promote wound healing of various types of wounds .Treatment decisions will be based on a. etiology of the wound .b. characteristics of the wound .c. location of the wound. d. goals and preferences of the resident/representative .The effectiveness of treatments will be monitored through ongoing assessment of the wound. Considerations for needed modifications…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, and record review, the facility did not ensure the resident environment remained as free of accident hazards as possible for 2 residents (R) (R1 and R6) of 7 sampled residents.R1's care plan contained an intervention for the assistance of 2 staff and a manual stand assist lift for transfers. On 2/15/26, Registered Nurse (RN)-C transferred R1 without a second person which resulted in a fall.R6's care plan contained an intervention to use a pivot disc with transfers. On 3/31/26, Certified Nursing Assistant (CNA)-F transferred R6 with a Lumex (manual stand assist lift). R6 used a Lumex to transfer in the past but was not re-assessed for use of the lift. In addition, R6's care plan was not revised to reflect R6's current transfer status.Findings include:The facility's Fall Prevention Program policy, revised 10/1/25, indicates: Each resident's risk factors, and environmental hazards will be evaluated when developing the resident's comprehensive plan of care .The plan of care and Kardex will be revised as needed.The facility's Accidents and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection for 1 resident (R) (R3) of 1 sampled resident.R3 was on enhanced barrier precautions (EBP) due to carbapenem-resistant Pseudomonas aeruginosa (CRPA) colonization. Certified Nursing Assistant (CNA)-D and Nursing Home Administrator (NHA)-A did not wear a gown or gloves while transferring R3 from bed to wheelchair with a mechanical lift.Findings include:The facility's Enhanced Barrier Precautions policy, revised 9/9/25, indicates: EBP refer to an infection control intervention designed to reduce the transmission of multidrug-resistant organisms (MDROs) that employs targeted gown and glove use during high-contact resident care activities .High-contact resident care activities include: a. dressing; b. bathing; c. transferring; d. providing hygiene; e. changing linens .EBP should be followed outside the resident's room when performing transfers .examples of MDROs targeted by the Centers…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff and resident representative interview and record review, the facility did not notify a Power of Attorney for Healthcare (POAHC) of a change in condition for 1 resident (R) (R1) of 1 sampled resident. R1 had bruising on the legs and buttocks from multiple falls and behaviors. R1's POAHC (POAHC-E) was not notified of the injuries. Findings include: The facility's Notification of Changes policy, dated August 2024, indicates: The purpose of this policy is to ensure the facility promptly informs the resident, consults the resident's physician, and notifies, consistent with his or her authority, the resident's representative when there is a change requiring notification .The facility must inform the resident, consult with the resident's physician, and or notify the resident's family member or legal representative when there is a change requiring such notification. Circumstances requiring notification include: 1. Accidents: a. Resulting in injury . On 5/13/25, Surveyor reviewed R1's medical record. R1 had diagnoses including nontraumatic subarachnoid hemorrhage, Lewy body…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident representative interview, and record review, the facility did not ensure fall interventions were implemented for 1 resident (R) (R1) of 3 sampled residents. R1 had a history of falls and sustained multiple falls in the facility. The facility did not implement fall interventions or safety measures to prevent future falls or injury. Findings include: The facility's Fall Reduction Policy, revised 7/1/19, indicates: Purpose: To provide an environment that remains as free of accident hazards as possible. To identify residents who are at risk for falling and to develop appropriate interventions to provide supervision and assistive devices to prevent or minimize fall related injuries .to promote a systematic approach and monitoring process for the care of residents who have fallen and/or those who are determined to be at risk .2. Each resident will be evaluated for risk of falls using a fall risk upon admission, readmission, upon a significant change of condition, quarterly, and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not ensure the accurate administration of medication for 1 resident (R) (R7) of 13 sampled residents. R7 had an admission order to hold clopidogrel (Plavix) prior to an appointment to have a urinary stent removed. The facility missed the appointment and the order to hold medication on R7's discharge instructions and After Visit Summary (AVS) from the hospital. Findings include: On 5/14/25, Surveyor reviewed R7's medical record. R7 was admitted to the facility on [DATE] and had diagnoses including acute kidney injury, bladder cancer, complicated urinary tract infection (UTI), and atrial fibrillation. R7's Minimum Data Set (MDS) assessment, dated 3/31/25, had a Brief Interview for Mental Status (BIMS) score of 13 out of 15 which indicated R7 was not cognitively impaired. R7 discharged from the facility on 3/31/25. Surveyor reviewed R7's Discharge Summary and After Visit Summary (AVS) from R7's hospital stay prior to admission. Surveyor…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, staff interview, and record review, the facility did not ensure food was stored and prepared in a safe and sanitary manner. This practice had the potential to affect all 52 residents residing in the facility. Staff did not monitor or document cooked food temperatures. Staff did not test or document parts per million (PPM) of the quaternary sanitizing solution per manufacturer's instructions. Food items were not discarded when beyond their expiration or use-by dates and/or not stored in a manner to prevent cross-contamination. Staff did not complete appropriate hand hygiene during meal service. Cold food items were not maintained at a proper temperature during meal service. Findings include: On 1/26/25 at 11:40 AM, Surveyor interviewed Dietary Manager (DM)-N who stated the facility follows the State and Federal Food Codes. Food Temperatures: The 2022 Food and Drug Administration (FDA) Food Code documents at 3-401.11 Raw Animal Foods: Raw animal foods such as eggs, fish, meat, poultry, and foods containing these raw animal foods, shall be cooked to heat all parts…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, and record review, the facility did not ensure safe and accurate administration of medication for 4 residents (R) (R15, R6, R12 and R7) of 24 sampled residents. On 1/26/25 and 1/27/25, medication was left at R15's bedside. R15 did not have a self-administration of medication assessment or a physician's order to self-administer the medication. In addition, medication and treatments were signed out as administered on 1/27/25 but were not completed. On 1/26/25, medication was left at the bedside of R6, R12, and R7. R6, R12, and R7 did not have self-administration of medication assessments or physician orders to self-administer the medication. Findings include: The facility's Administering Medications policy, revised 1/1/14, indicates: .1. Only licensed staff, or permitted by the State may prepare, administer, or record the administration of medication .4. Medications may be self-administered by residents who have been assessed and determined to be safe and upon…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection for 4 residents (R) (R207, R42, R12, and R7) of 5 sampled residents. R207 had a open wound but did have an order or care plan for enhanced barrier precautions (EBP). R42 was not noted on the facility's infection control line list for antibiotics, intravenous (IV) therapy, a peripherally inserted central catheter (PICC) line, or infectious wounds. Licensed Practical Nurse (LPN)-M did not complete hand hygiene prior to administering medication to R12 and R7. Findings include: The facility's Enhanced Barrier Precautions policy, dated 12/22/22, indicates: It is the policy of this facility to implement enhanced barrier precautions (EBP) for the prevention of transmission of multidrug-resistant organisms (MDROs). Enhanced barrier precautions refer to the use of gown and gloves for use during high-contact resident…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure a written transfer notice was provided for 1 resident (R) (R52) of 1 resident reviewed for hospitalization. R52 was transferred to the hospital on [DATE]. Neither R52 or R52's emergency contact were provided with a written transfer notice. Findings include: The facility did not provide a policy related to transfer/discharge notices. Between 1/26/25 and 1/28/25, Surveyor reviewed R52's medical record. R52 was admitted to the facility on [DATE] and had diagnoses including fracture of unspecified part of neck of femur, type 2 diabetes, protein-calorie malnutrition, and traumatic ischemia of muscle. R52's Minimum Data Set (MDS) assessment, dated 9/22/24, had a Brief Interview for Mental Status (BIMS) score of 8 out of 15 which indicated R52's cognition was moderately impaired. R52's medical record indicated R52 made R52's own healthcare decisions. R52's medical record indicated R52 was hospitalized on [DATE] for a left hip fracture. R52's…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure 1 resident (R) (R42) of 2 residents received a bed hold notice when leaving the facility for therapeutic leave. R42 left the facility for therapeutic leave approximately every other week from October 2024 to January 2025. R42 did not receive bed hold notices prior to leaving the facility for therpeutic leave. Findings include: The facility's Therapeutic Leave policy, dated 11/22/23, indicates: .2. The facility will provide the resident and/or representative written information about a bed hold prior to or upon notice of the transfer as per the bed hold policy . From 1/26/25 to 1/28/25, Surveyor reviewed R42's medical record. R42 was admitted to the facility on [DATE] and had diagnoses including septicemia, paraplegia, anxiety, depression, and post-traumatic stress disorder. R42 had an indwelling urinary catheter, a wound vacuum-assisted closure, and a peripherally inserted central catheter line. R42's Minimum Data Set (MDS) assessment, dated…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, and record review, the facility did not ensure the appropriate care and treatment for a pressure injury was provided for 1 resident (R) (R207) of 24 sampled residents. R207 was admitted to the facility with a pressure injury on the buttock. The facility did not complete accurate weekly wound assessments or include the pressure injury diagnosis on R207's Minimum Data Set (MDS) assessment and diagnoses list. Findings include: The facility's Wound Care Policy, revised on 2/3/21, indicates: .3. Upon the development of a wound, the wound assessment will be documented on the Initial Wound Assessment Form 7. Any skin impairments, including pressure ulcer wounds, surgical wounds, skin tears, abrasions, etc., should be assessed and documented weekly by the Wound Nurse, or designee, on the Weekly Wound Assessment. From 1/26/25 to 1/28/25, Surveyor reviewed R207's medical record. R207 was admitted to the facility on [DATE] and had diagnoses including type 2 diabetes…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, and record review, the facility did not provide appropriate care and services for 1 resident (R) (R19) of 1 sampled resident with an indwelling catheter. On 1/27/25, R19 had dark cherry-colored urine and R19's catheter was flushed without a physician's order. R19's care plan did not include an intervention to flush the catheter. In addition, a description of R19's urine was not documented even though R19's care plan contained an intervention to monitor/record/report blood-tinged urine. Findings include: The National Institute of Health (NIH) National Institute of Diabetes and Digestive Kidney Disease (NIDDK) (12/21/22) indicates: Gross hematuria is when you can see the blood in your urine .Gross hematuria makes your urine look pink, red, or brown .Blood clots can be painful to pass during urination or can cause pain if the clots block the flow of urine. The National Institutes of Health (NIH) National Library of Medicine (5/21/20) states: Severe hematuria can…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff and resident interview and record review, the facility did not ensure 1 resident (R) (R43) of 4 sampled residents received the necessary care and services to monitor weight loss. R43 had an unplanned weight loss of 15.72% between 9/13/24 and 1/1/25 with a 5.26% weight loss between 12/9/24 and 1/1/25. R43's medical record did not contain a current order for weight monitoring. In addition, staff did not monitor R43's weight per the facility's policy. Findings include: The facility's undated Weight Monitoring policy indicates: Based on the resident's comprehensive assessment, the facility will ensure all residents maintain acceptable parameters of nutritional status, such as body weight or desirable weight range .unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise .5. A weight monitoring schedule will be developed upon admission for all residents .c. Residents with weight loss, monitor weight weekly. d. If clinically indicated,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility did not ensure 1 resident (R) (R306) of 3 sampled residents received the appropriate respiratory care and services for a nebulizer treatment. On 1/26/25 and 1/27/25, R306 self-administered a nebulizer treatment (aerosolized breathing treatment) incorrectly. Findings include: The facility's Policy and Procedure Administering Medications, dated 1/1/14, indicates: .Medications may be self-administered by residents who have been assessed and determined to be safe and upon physician order. The facility's Policy and Procedure Nebulizer Use, dated 1/1/14, indicates: .5. Assist the resident to an upright position. 6. Auscultate the lung sounds. The facility's undated Validation Checklist Nebulizer Therapy indicates: .9. Instructed resident on how to use the nebulizer appropriately as needed. On 1/27/25, Surveyor reviewed R306's medical record. R306 was admitted to the facility on [DATE] and had diagnoses including dementia, chronic obstructive…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure 1 resident (R) (R37) of 1 sampled resident had an accurate and complete medical record. R37's pre and post-dialysis communication forms were not retained in R37's medical record. Findings include: The facility's undated Medical Record Release Policies and Procedures indicate: .Results of initial and subsequent health assessments or medical examinations .Documentation to accurately describe the resident's condition, significant changes in condition, changes in treatment and response to treatment .Documentation of all other services including rehabilitation services, treatments and therapeutic diets . On 1/28/25, Surveyor reviewed R37's medical record. R37 was admitted to the facility on [DATE] and had diagnoses including end stage renal disease, chronic obstructive pulmonary disease (COPD), type 2 diabetes, hypertension, and anxiety. R37 received dialysis services. R37's Minimum Data Set (MDS) assessment, dated 10/24/24, had a Brief Interview…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interview and record review, the facility did not ensure their antibiotic stewardship program was consistently followed. On 1/28/25, Surveyor reviewed R207's medication administration record (MAR) which indicated R207 was on an antibiotic since admission on [DATE]. There was no stop date indicated for the antibiotic. Findings include: The facility's Antibiotic Stewardship Protocol, dated October 2024, indicates: Antibiotic Stewardship is the process of optimizing the treatment of infections while reducing adverse events associated with antibiotic use. Using the right antibiotic for the right reason for the right amount of time .Reviewing the effectiveness of antibiotic therapy by the Medical Doctor (MD)/Nurse Practitioner (NP) approximately 48 hours after the start is encouraged . From 1/26/25 to 1/28/25, Surveyor reviewed R207's medical record. R207 was admitted to the facility on [DATE] and had diagnoses including type 2 diabetes mellitus with neuropathy, congestive heart failure, and chronic…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on staff interview and record review, the facility did not ensure vaccinations were reviewed, offered, or administered for 2 residents (R) (R24 and R34) of 5 sampled residents. Staff did not offer R24 or R34 the PCV20 (Prevnar 20®) vaccine. Findings include: Abbreviations (www.cdc.gov): PCV13: 13-valent pneumococcal conjugate vaccine (Prevnar13®) PCV15: 15-valent pneumococcal conjugate vaccine (Vaxneuvance®) PCV20: 20-valent pneumococcal conjugate vaccine (Prevnar 20®) PPSV23: 23-valent pneumococcal polysaccharide vaccine (Pneumovax23®) The most recent Centers for Disease Control and Prevention (CDC) recommendations for pneumococcal vaccinations indicate: For adults 65 years or older who have only received PPSV23, the CDC recommends: Give 1 dose of PCV15 or PCV20. The PCV15 or PCV20 dose should be administered at least 1 year after the most recent PPSV23 vaccination. Regardless of if PCV15 or PCV20 is given, an additional dose of PPSV23 is not recommended since they already received it. For those who have received PCV13 and 1 dose of PPSV23, the CDC recommends you give 1 dose…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.