F0684

D

Failure to Ensure Timely Transportation for GI Specialist Appointment

Naperville, Illinois Survey Completed on 01-23-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure a resident received timely transportation to a scheduled GI (gastroenterology) consultation as ordered. The resident had a diagnosis of GERD (Gastroesophageal Reflux Disease) and a physician order entered on 10/27/25 for a GI consult. On 1/20/26, the resident reported that he had been told he was supposed to go to an appointment with a GI doctor but had not yet been able to see one. The Nurse Practitioner stated the resident was to see the GI specialist for previous abdominal pain and acid reflux and was not aware that the resident had missed his GI appointments, while also stating that even though the appointments were considered non-urgent, she would still expect the resident to be transported on time.

The Appointment and Transportation Scheduler reported ongoing issues with the transportation company used by the facility, including problems getting residents to appointments on time and the lack of any backup transportation options. She confirmed that she had been trying to get the resident to the GI appointment and described two missed appointments: on 12/23/25, the transportation company called to report they would be late, and the physician’s office could not accommodate a late arrival, resulting in rescheduling; on 1/12/25, the transportation company went to the wrong facility, causing the resident to miss the appointment again. The scheduler stated that a new GI appointment was made for 3/18/26. The facility’s Transportation policy dated 9/2020 states that the facility will assist residents in obtaining transportation to their appointments as needed, but the resident was not successfully transported to the ordered GI consult in a timely manner.