we get calls like that here in New Orleans, usually the nursing home will call their contracted ambulance service but due to the low acuity the private ambulance service will delay the transport. Maybe an hour later the nursing home calls 911 for some bogus reason, like pt. short of breath we arrive onscene to see the patient laying in bed completely stable. pt being transported due to lab work. pt is SOB but theyre always SOB due to some chronic illness. Ive found the best way to approach the situation is to stay professional and transport the patient as long as the patient wants to be transported. unless something about the patient is abnormal i transport BLS because the pt shouldnt have to pay more money for ALS treatment for horrible nurses at nursing home. AND DOCUMENT DOCUMENT DOCUMENT, Written complaint and pt report as well as verbal report to nurses at hospital. someone will do something eventually if it keeps happening.