Failure to Ensure Resident Return Transportation from Medical Appointment
Penalty
Summary
A cognitively intact resident, as indicated by a BIMS score of 14 out of 15, was admitted to the facility and required transportation to and from a medical appointment. The facility arranged for transportation to the appointment, but failed to ensure the resident was picked up afterward. Certified Nurse Aide (CNA) 2 confirmed leaving the resident at the appointment, expecting CNA1 to pick her up. CNA1 reported that due to a delay at the appointment and her scheduled end of shift, she informed the resident's son that she could not wait to return the resident to the facility. As a result, the resident's son transported her back, during which the resident reported being placed in the back of the car, causing leg pain. The facility administrator acknowledged there was no policy on transportation, but stated the expectation was for the facility to provide return transportation if it had provided the initial transport.