The Tucson (Ariz.) Medical Center has been fined $1,500 for failing to provide proper care to three trauma patients this year. The Arizona Department of Health Services fined TMC the maximum of $500 for each infraction.
The CMS is still reviewing the incidents and may impose additional fines.
Authorities said the most serious violation occurred May 7, when paramedics unsuccessfully tried to bring a 58-year-old man to TMC after he had been shot numerous times in the chest in a confrontation with Pima County deputies.
Normally, he would have been taken to University Medical Center because of the extent of his injuries, but paramedics had difficulty establishing a stable airway.
They took him to Tucson Medical Center, which was the nearest hospital, but TMC staff standing in the ambulance entrance told paramedics they needed to take him to UMC.
The patient was later declared dead at UMC.
The other two infractions occurred April 20 and May 1, when two on-call specialists at TMC declined to take on the care of two patients as requested by the emergency department.
One of the patients was taken to another local emergency room, and the other was transferred to Phoenix by helicopter for surgery.