Failure to Arrange Orthopedic Follow-Up for Resident with Arm Cast
Penalty
Summary
The facility failed to ensure that a follow-up appointment with an orthopedic doctor was made for a resident who was admitted with a left arm cast. According to the Interdisciplinary Team note, the resident required orthopedic follow-up, but this was not arranged. During interviews, a Licensed Vocational Nurse stated that the resident had insurance issues and difficulty finding an orthopedic doctor, and that the Social Service Designee (SSD) was aware of the situation but did not take further action. The SSD later stated she was not aware that the resident required orthopedic follow-up, and no appointment was made. Review of facility policy indicated that social services are responsible for coordinating most resident referrals with outside agencies.