Failure to Cancel Transportation After Appointment Cancellation Request
Penalty
Summary
The deficiency involves the facility’s failure to follow up on and cancel a resident’s transportation after the resident’s responsible party requested cancellation of a scheduled urology appointment. The resident, who had diagnoses including Parkinson’s disease, hypotension, and bipolar disorder, was cognitively intact and independent in ADLs per the MDS. On the night prior to the appointment, a nursing progress note documented that the responsible party requested cancellation of the urology appointment. RN 2 also entered this request into the facility’s communication log for the morning staff to follow up, but did not provide a verbal handoff to the next shift. Despite this documented request and communication log entry, the morning nurse did not follow up to cancel the resident’s transportation. As a result, the resident left the facility for the urology appointment and traveled to the clinic, only to find that the appointment had been cancelled. The resident then returned to the facility without being seen by the urologist. The DON and Social Services Director confirmed that nursing staff did not notify Social Services to address the cancelled appointment and that there was no documentation that transportation had been cancelled, leading to the unnecessary transport.
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