Failure to Accommodate Resident's Call Bell Accessibility
Penalty
Summary
The facility failed to accommodate the needs of a resident, identified as Resident 108, regarding the accessibility of a call bell. Resident 108 was admitted with a diagnosis of hemiparesis following a cerebral infarction, affecting her right dominant side and limiting her range of motion. During interviews and observations conducted on December 3 and 4, 2024, it was noted that Resident 108 was unable to reach her call bell, which was attached to the top of the assist bar rail at the head of her bed. This issue was discussed with the Nursing Home Administrator and Director of Nursing on December 5, 2024. The deficiency was cited under 28 Pa. Code 211.12(d)(1)(5) Nursing services, indicating a failure to reasonably accommodate the resident's needs and preferences.
Plan Of Correction
1. Resident 108 call bell corrected, care plan that she prefers it on the side of affected limb. 2. DON/Designee to do a sweep of residents to make sure call bells accessible to resident. 3. DON/Designee will educate nursing staff about call bell accessibility, policy and on 483.10(e)(3) The right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents. 4. DON/Designee will do a random audit weekly x4 and monthly x3 to ensure call bell placement. Results of the inspections will be submitted to the QAPI team. 5. Date of compliance 1/30/25.