Resident Left Unattended Outside While Awaiting Transportation
Penalty
Summary
The facility failed to ensure an area was free from accident hazards and that adequate supervision was provided when a resident was left unattended outside while waiting for transportation to a medical appointment. The resident, who had decision-making capacity per a history and physical dated 10/18/25, was scheduled to be picked up by family for a doctor's appointment. On the day of the incident, after the resident’s lunch, CNA 4 accompanied the resident outside the facility to wait for the family. During this time, the resident repeatedly told CNA 4 to leave him. CNA 4 reported that she left the resident alone outside to give him space, remaining just inside the door rather than staying with him. The DON later confirmed that CNA 4 was expected to remain with the resident until the family arrived, indicating that the resident had been left unattended in violation of supervision expectations. This sequence of events, as identified through complaint intake, medical record review, and staff interviews, formed the basis of the deficiency for failure to provide necessary care and services to ensure adequate supervision and prevent accidents for one of four sampled residents.
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