Failure to Provide Transportation for Bariatric Resident to Medical Appointments
Penalty
Summary
The facility failed to provide required transportation services for a resident with multiple complex medical conditions, including lymphedema, Milroy's disease, autistic disorder, attention deficit hyperactive disorder, and expressive language disorder. The resident was cognitively intact but dependent for activities of daily living. Medical records indicated that the resident had scheduled appointments with a cardiologist and a plastic surgeon, but was not transported to these appointments as ordered. The resident's mother repeatedly reminded staff about the need for a signed referral and the upcoming appointments. Interviews with the DON and the resident's physician confirmed that the resident had not attended any outside medical appointments due to the inability of local transportation companies to transfer bariatric residents. The facility assessment documented that the facility provided care for residents requiring bariatric care, yet no arrangements were made to ensure transportation for this resident. The resident's mother expressed concern about the lack of transportation and the need for transfer to a facility that could meet this requirement.