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F0778
D

Failure to Arrange Timely Transportation for Medical Appointments

Stockton, California Survey Completed on 07-02-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure transportation was properly arranged for two residents, resulting in missed or delayed medical appointments. One resident, with a history of hemiplegia and generalized muscle weakness, missed a scheduled primary care appointment because transportation was not arranged in a timely manner. The receptionist was only notified of the appointment on the day it was scheduled, and when transportation arrived, the resident was not ready. The charge nurse assigned to the resident was unaware of the appointment, and the facility's progress notes indicated that transportation was servicing another resident at the time, necessitating a reschedule. Another resident, diagnosed with a left tibia fracture, foot sprain, and generalized muscle weakness, arrived late to an orthopedic appointment due to delayed facility-owned transportation and was unable to be seen by the physician. The resident reported feeling unimportant due to the lack of prioritization for her scheduled pick-up. Staff interviews revealed miscommunication and lack of awareness among nurses and CNAs regarding residents' appointments, contributing to the missed and delayed appointments.

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