complaint·July 25, 2024

Allegation: Staff does not ensure care needs of resident are being met. It is alleged that resident (R1) has missed multiple dialysis clinic appointments as a result of transportation issues. According to information obtained, on dates June 6, 2024, June 18, 2024, June 20, 2024, June 22, 2024, and July 4, 2024 the resident was not dialyzed at Davita Dialysis clinic. Resident (R1) was interviewed and they stated that they require dialysis treatment three times a week, and is transported to the appointments via Access transportation services. The resident stated that in the recent month three (3) appointments have been missed. A total of five (5) staff were interviewed, of which all confirmed the resident has missed several dialysis appointments due to transportation issues with Access transport services. On Thursday, June 6, 2024, the resident was waiting outside in the patio area for Access van, and the van drove off without picking up the resident. Staff noticed the resident had not been picked up. Staff (S3) notified Access transportation and R1's family. Staff were on hold for 1 hour with Access, and they were told that pick-up appointments require 24 hour advance scheduling. Therefore, would not be able to transport the resident that day. Family was not able to make alternate arrangements for transport. Medical providers were interviewed, it was confirmed that resident (R1) missed dialysis appointments on June 6, 2024 and July 4, 2024. The facility has a transportation van parked in the parking lot, but does not provide transportation services to residents because they do not have an assigned driver. Per admission agreement, the facility is to "make available to residents, or otherwise assure the provision of, scheduled transportation to the nearest facilities for medical and dental appointments...." Therefore, there is sufficient evidence to corroborate the allegation. Based on interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . Deficiency is being cited according to Title 22. See LIC 9099D. Exit interview was conducted with Administrator Diana Bautista. A copy of the report and appeal rights were provided.