Failure to Arrange Transportation for Chemotherapy Appointment
Penalty
Summary
The facility failed to provide transportation for a scheduled oncology chemotherapy appointment for one resident, resulting in a missed treatment. The resident’s face sheet showed admission with malignant neoplasm of the colon, secondary malignant neoplasm of the liver and intrahepatic bile duct, and an encounter for antineoplastic chemotherapy. An oncology visit record dated 12/09/25 documented upcoming chemotherapy treatment dates, including an appointment on 12/30/25. The resident’s care plan dated 05/08/25 identified him as being at risk for adverse reactions related to colorectal cancer with metastasis to the liver and noted that he was currently receiving chemotherapy. During an interview, the resident reported that he missed his 12/30/25 chemotherapy treatment because the facility did not provide transportation, and stated that the facility receives copies of all his appointments and that he had been attending weekly chemotherapy since admission. An oncology clinic RN navigator confirmed that the resident missed the 12/30/25 appointment and stated that there was no transport scheduled when she called the facility. The Unit Clerk, who is responsible for scheduling transport for residents’ appointments, reported she was not aware of the 12/30/25 oncology appointment and confirmed the resident missed the appointment due to the inability to provide transport. She further explained that she schedules transport based on information received from the nurses, and in this instance, that process did not occur.
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