Deficiency in Resident Call System Accessibility
Penalty
Summary
The facility failed to ensure that call devices were functional and accessible to residents, affecting two of the 30 residents reviewed. Resident R55 reported that his call bell was non-functional, which was confirmed through observation and an interview with the Nursing Home Administrator. Additionally, Resident R78's call bell was observed on the floor and out of reach on multiple occasions. Resident R78, who was soft-spoken and unable to call out loudly, stated he had no other way to call for assistance. A nurse aide acknowledged that Resident R78's call bell sometimes falls on the floor, further indicating the inaccessibility of the call system for this resident.
Plan Of Correction
1. R55 and R78 call bell has been replaced, is currently working properly and accessible. No adverse effects were noted. 2. An initial audit was conducted to validate call bells were in proper working condition and accessible. Variances were addressed at the time of the audit and placed on the facility audit tool. 3. NHA/Designee will re-educate all dept managers on validating call bells are properly working and accessible. 4. NHA/Designee will conduct random audits on call bell functionality and accessibility 3 times per week for 4 weeks then 1 time a month for 2 months. Audit findings will be addressed and submitted to the Quality Assurance Performance Improvement Committee for further review and recommendations as needed.