Based on interviews and record review, the facility failed to schedule transportation arrangements for a medical appointment for one of 36 sampled residents (R) (R71), resulting in a missed post-operation (post-op) appointment after a surgical procedure. Actual Harm was identified on 3/13/2025, when staples became embedded in R71's amputation surgical site after the facility failed to provide transportation for post-operation (post-op) appointments. Findings included: A review of the electronic medical record (EMR) revealed that R71 was admitted to the facility on [DATE] with a diagnoses of encounter for orthopedic aftercare following surgical amputation, acquired absence of right leg below knee, acquired absence of left above knee, type 2 diabetes mellitus with other skin conditions,… …
F774
Administration Deficiencies
Help the resident with transportation to and from laboratory services outside of the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F774 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F774 finding.
The harm level
How severely F774 is cited
2.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G12.0% | H— | I— |
| No harm, potential for more than minimal | D4794.0% | E24.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F774 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record review and interview the facility failed to ensure residents were assisted timely and safely with transportation from the emergency room to the facility for two of three residents (R1 and R2) reviewed for transfers/discharge in the sample of four.Findings include:The facility's Transportation of Residents policy dated 3/4/24 documents, It is the policy of this facility to safely transport residents to/from necessary appointments when needed. Per federal regulation, the facility's responsibility is to assist residents and representatives in locating and utilizing any available resources for the provision of the services the resident's needs. This includes assisting arranging transportation to obtain needed services. …
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