Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member''s vaccination status.
No actual harm occurred, but a finding has the potential for more than minimal harm if uncorrected.
CMS uses a scope/severity grid (A through L). Letters A-F indicate no actual harm, G-I indicate actual harm, and J-L indicate immediate jeopardy. Scope (isolated, pattern, widespread) is encoded in the same letter.
Corrected on 2025-12-23.Deficient, Provider has date of correction