**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on staff interviews and record review, the facility failed to ensure the residents' medical record included pneumococcal immunization status for 2 of 5 residents (Resident #3 and #56) reviewed for pneumococcal immunization status. The findings included: A review of the facility policy (revised 9/22) Immunization Policy, read: upon admission nursing staff will document in the Immunization Record the resident's history of immunization with the pneumococcal vaccine, influenza vaccine, and COVID-19 vaccine. 1) Resident #3 was admitted to the facility on [DATE] with diagnoses that included a pelvic fracture and Alzheimer's disease. The admission Minimum Data Set (MDS), dated [DATE], for Resident #3 was reviewed for the immunization section. The pneumococcal vaccine questions had documentation that read: the vaccine was not up to date and had not been offered. A review of Resident #3's medical record revealed there was no documentation to indicate whether the Resident received or refused a pneumococcal vaccine. An interview was conducted with the Director of Nursing (DON) on 11/09/2022 at 1:39 p.m. She reviewed the medical record for Resident #3 and revealed she had been unable to locate a consent for the Pneumococcal vaccine or a record of her pneumococcal vaccination history. She stated it was her expectation that the information be obtained by the admission nurse and entered into the chart within 48 hours of admission. 2) Resident #56 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation and heart failure. The admission MDS dated [DATE], for Resident #56 was reviewed for the immunization section. The pneumococcal vaccine questions had documentation that read: the vaccine was not up to date and had not been offered. A review of Resident #56's medical record revealed there was no documentation to indicate whether the Resident received or refused a pneumococcal vaccine. An interview was conducted with the DON on 11/09/2022 at 1:39 p.m. She reviewed the medical record for Resident #56 and revealed she had been unable to locate a consent for the Pneumococcal vaccine or a record of his pneumococcal vaccination history. She stated it was her expectation that the information be obtained by the admission nurse and entered into the chart within 48 hours of admission.