Nursing home providers participating in Medicare and Medicaid must give residents the opportunity to receive immunizations against influenza and pneumonia. See this memo from Centers for Medicare and Medicaid Services (CMS).
The new rules require that facilities must educate residents about why immunization is important, warn them of the dangers of not being immunized, the right to refuse immunization, etc.
By next spring, CMS will provide guidelines for state survey agency directors. In the meantime, nursing homes with vaccine shortages or delays will not be penalized.