Resident Misses Medical Appointment Due to Incorrect Transportation Arrangements
Penalty
Summary
A resident with multiple fractures following a motor vehicle accident was admitted to the facility and was cognitively intact, as indicated by a BIMS score of 15. The resident had a scheduled orthopedic appointment to evaluate her right arm. On the day of the appointment, the facility arranged transportation but provided the driver with the incorrect address for the orthopedic provider. As a result, the resident was taken to the wrong location and missed her appointment. The facility's receptionist, who was responsible for arranging the transportation, did not confirm the city of the provider's office and assumed the location, leading to the error. The administrator confirmed that there was no existing policy for transporting residents to outside medical providers or for scheduling medical appointments, and acknowledged that the resident missed her appointment due to the incorrect information provided to the transport driver.