F0840

D

Failure to Timely Arrange Ordered Orthopedic Follow-Up After Hip Fracture Repair

Cambridge, Maryland Survey Completed on 01-08-2026

Penalty

No penalty information released

Summary

Facility staff failed to obtain outside professional orthopedic follow-up services in a timely manner as ordered in a hospital discharge summary for one resident. The resident was originally admitted in June 2025 and was readmitted to the facility following a hospitalization for repair of a right femur fracture, during which an open reduction internal fixation of the hip for a right femoral neck fracture was performed. The hospital discharge summary dated 10/24/25 directed that an appointment with the orthopedic physician be scheduled as soon as possible for a visit in one week. Review of the medical record showed that this follow-up appointment was not scheduled and the resident was not seen by the orthopedic doctor until 12/9/25. In an interview, the VP of Clinical Services confirmed that facility staff did not schedule the orthopedic appointment within one week of discharge as ordered.