Deficient Resident Call System in Restrooms
Penalty
Summary
The facility failed to maintain an effective resident call system for 12 out of 20 restrooms on the sixth floor. This deficiency was identified through observations and interviews with residents and staff. Residents reported that the call bell in the bathroom did not function properly, preventing them from alerting staff when they needed assistance. During an observation, it was confirmed that the call light cords in specific rooms, including 6010, 6011, 6012, 6013, 6016, 6017, 6018, 6019, 6020, 6021, 6023, and 6040, were unable to trigger an alarm. A Nurse Aid and the Nursing Home Administrator both confirmed these findings, indicating a failure to maintain the call system as required by facility policy.
Plan Of Correction
The resident call system in rooms 6010, 6011, 6012, 6013, 6016, 6017, 6018, 6019, 6020, 6021, 6023, and 6040 have been repaired and now function properly. The resident call system in all resident rooms and bathrooms has been audited by the Maintenance Director to ensure each is functioning properly. The maintenance department will be educated by the Administrator on routine maintenance and testing of the call system. The Administrator will educate the nursing department to promptly notify the maintenance department with any issues related to the call system. The Administrator/Designee will randomly audit 5 resident rooms per week for 4 weeks to ensure the call system is functioning properly in the resident room and bathroom. The results of the education and audits will be shared at the monthly QAPI meeting for review and approval.