Call Bell System Malfunction on C-Wing Nursing Unit
Penalty
Summary
The facility failed to ensure that the call bell systems functioned properly on the C-Wing nursing unit. During an observation, it was noted that although the call bell system was activated, no lights above the residents' rooms or at the nurses' station control panel were illuminated to indicate which room had activated the call bell. Employee E6, a licensed nurse, confirmed that she could hear the call bell but was unable to determine the source, leading her to walk up and down the halls and eventually go room by room to locate the activated call bell. It was determined that the call bell in resident room [ROOM NUMBER]A had been activated, but neither the light above the room nor the control panel light was illuminated during the activation.
Plan Of Correction
The malfunction part in the call bell system has been replaced and C wing call bell is functioning properly. Maintenance/designee will complete an initial audit on all call bell systems on each unit. Maintenance/designee will complete weekly audits x 4 then monthly x 2 to ensure the call bell system is functioning properly. Maintenance Director will report the findings of the audits to the QAPI Committee x 3 months.