Homestead II: Resident Abandoned at Doctor's Office - OH
The facility received a phone call between 10:00 and 10:30 a.m. on July 7 from the doctor's office reporting that Resident #45 was waiting to be picked up from his appointment. Staff had no idea he was there.
When the facility's receptionist called Lake Transportation, the company said the pickup was marked as "will call." She told them that couldn't be right because the facility had written down a return time. Lake Transportation informed her they had already been there and left.
Nobody had arranged for the resident's return.
The receptionist found herself juggling calls between the doctor's office, the transportation company, and the doctor's office again. The medical staff also called the resident's daughter directly.
The daughter said she would pick up her father, but she wasn't bringing him back to the facility.
When interviewed by state inspectors, the daughter revealed she didn't even know the facility was taking her father to an appointment that day. She had cancelled the appointment, and the facility never called her.
At his previous appointment, she had come to the facility specifically to accompany her father, only to discover the staff had arranged for someone to go with him instead.
When she picked up her father on July 7, he was very upset and very hungry. He had not eaten anything that day, and it was almost noon.
She could not believe the facility had sent him to the appointment unattended.
The facility's policy typically requires sending a staff member with residents to medical appointments, depending on their cognitive abilities. Transportation is usually arranged through Lake Transportation with scheduled pickup and return times. The company operates with a 30-minute window for appointments.
But none of these safeguards worked for Resident #45.
The Director of Nursing confirmed during inspection that the resident had been sent to his July 7 appointment without any staff member or family member accompanying him. This left him entirely dependent on transportation arrangements that the facility had failed to coordinate properly.
The breakdown cascaded through multiple failures. First, the facility sent a resident to a medical appointment alone despite their own policies. Second, they failed to properly coordinate his return transportation. Third, they didn't communicate with his family about the appointment his daughter had already cancelled.
The resident spent hours at the doctor's office while staff made frantic phone calls trying to locate him and arrange pickup. During this time, he missed his meals and had no supervision or assistance.
Lake Transportation's "will call" marking suggests they expected someone else to arrange the return trip, but the facility had written down a specific return time, indicating they believed pickup was scheduled. This miscommunication left the resident stranded.
The doctor's office found themselves caring for a nursing home resident who should have been picked up hours earlier. They ultimately had to make multiple calls to resolve a situation that proper planning would have prevented.
The daughter's intervention rescued her father from a situation that exposed him to unnecessary risk and distress. Her decision not to return him to the facility that day reflected her loss of confidence in their ability to ensure his safety and wellbeing.
The incident violated federal regulations requiring nursing homes to ensure residents receive proper supervision and care during medical appointments. Facilities must coordinate transportation and provide appropriate oversight for residents who may be confused or unable to advocate for themselves.
State inspectors documented this as part of two separate complaints filed against Homestead II, suggesting a pattern of coordination failures that put residents at risk.
The facility's own policies acknowledged that residents with cognitive issues require staff accompaniment to medical appointments, yet they sent Resident #45 alone. This decision left him vulnerable and dependent on transportation arrangements that ultimately failed.
For Resident #45, a routine medical appointment became an ordeal of confusion, hunger, and abandonment. He waited at a doctor's office while strangers made phone calls trying to figure out how to get him home.
His daughter's shock at discovering he had been sent alone to an appointment she had cancelled reveals the communication breakdowns that left her father stranded and afraid.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Homestead II from 2025-09-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
HOMESTEAD II in PAINESVILLE, OH was cited for violations during a health inspection on September 5, 2025.
The facility received a phone call between 10:00 and 10:30 a.m.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.