Deficiency in Resident Call System in Restrooms
Penalty
Summary
The facility failed to maintain an effective resident call system in three of five restrooms accessible to residents. During observations, it was noted that the staff restroom across from the 200-Unit nursing station and two staff restrooms across from the Activities room were unlocked and accessible to residents, yet lacked emergency call lights or call cords. This deficiency was confirmed by the Nursing Home Administrator during an interview, acknowledging that the restrooms were accessible to residents without the necessary emergency call systems in place.
Plan Of Correction
The three restrooms without emergency call systems (across from the 200-Unit nursing station and the Activities Room) were locked and labeled with signage stating "Staff and Visitors Only" to prevent resident access. All remaining resident-accessible restrooms were audited and confirmed to have functioning emergency call cords or buttons. A house audit was completed by the Maintenance Director on all public accessible restrooms to ensure that they are locked or had an accessible call bell. NHA/designee will conduct education for the facility maintenance director and assistants on ensuring all public accessible restrooms are locked or had an accessible call bell. NHA/designee will conduct an audit to ensure all public accessible restrooms are locked or have an accessible call bell, weekly for three weeks.