Based on staff interview, personnel record review, and policy and procedure review, the facility failed to ensure all hospice employees are fully vaccinated for COVID 19 for one (1) of 46 employees. Chaplain #1 Findings Include: --- Interview with Registered Nurse, (RN) Regional Administrator, on 01/03/2023 at 4:00 p.m., confirmed Chaplain #1 has no COVID-19 vaccination record or submission of medical/religious exemption in personnel record. Review of personnel record review, for Chaplain #1, revealed no documentation of vaccination or request for medical/religious exemption. Review of facility policy 3.0 ";Personnel CMS Vaccine Mandate," policy P31, dated 01/27/2022, revised 05/04/2022 revealed: ";In accordance with the CMS Rule, all covered staff must be fully vaccinated against COVID-19 by having received a single-dose vaccine or all required doses of a multi-dose vaccine for COVID-19...by March 15, 2022...or have an approved religious or medical exemption." Review of facility procedure 4.10 ";Personnel CMS Vaccine Mandate," policy P31, dated 01/27/2022, revised 05/04/2022 revealed: ";The company has a process for contingency plans for staff who are not fully vaccinated for COVID-19...In situations where staff have indicated a refusal to be vaccinated or apply for an exemption, the company may take disciplinary action up to and including termination and/or engage in efforts to recruit vaccinated staff and/or to obtain temporary vaccinated staff until permanent vaccinated replacements can be found." During exit conference on 01/05/2023 at 12:00 p.m. with RN Regional Administrator, survey findings were discussed and no further documentation was submitted for review.
Every finding on record at Camellia Hospice of North Mississippi, LLC
Oxford, Mississippi · CCN 251591
1 finding across 1 survey, in the inspector's own words.
The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.
Survey of January 5, 2023
1 finding← Back to the Camellia Hospice of North Mississippi, LLC record
Federal survey findings only. State licensure findings for hospices are not shown.
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