| Facility failed to meet the following Requirement(s): | Corrected Date | Level of Harm | Residents Affected |
| Influenza and pneumococcal polysaccharide immunizations may be administered per physician-approved facility policy after assessment for contraindications.
(A) The facility shall develop a policy that provides recommendations and assessment parameters for the administration of such immunizations. The policy shall be approved by the facility medical director for facilities having a medical director, or by each resident ' s attending physician for facilities that do not have a medical director, and shall include the requirements to:
2. Offer the immunization to the resident or obtain permission from the resident ' s designee or legally authorized representative when it is medically indicated, unless the resident has already been immunized as recommended by the policy; II/III
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8/1/2025
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| Residents shall be encouraged to be active and to participate in activities. In a residential care facility licensed for more than twelve (12) residents, a method for informing the residents in advance of what activities are available, where they will be held and at what times they will be held shall be developed, maintained and used. II/III
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8/1/2025
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Missouri Department of Health & Senior Services