Inaccessible Call Lights for Residents
Penalty
Summary
The facility failed to ensure that call lights were within reach for two residents, leading to a deficiency in accommodating resident needs and preferences. Resident #10 was observed multiple times with the call light draped behind the bed and out of reach. Despite being able to use the call bell, the resident could not reach it and had to resort to yelling for assistance. Interviews with staff confirmed that call lights are supposed to be within reach of residents at all times, yet this was not the case for Resident #10. Similarly, Resident #2 was observed banging on her overbed table and yelling for help because she needed to go to the bathroom. The call light was clipped to the top corner of her pillow, making it inaccessible. When a CNA entered the room, she found the call light hanging off the bed and handed it to the resident, who then used it to call for assistance. The resident's inability to reach the call light led to her distress and need for immediate help.
Plan Of Correction
Call lights for resident #2 and #10 were placed within reach of the residents. Audit of 100% of residents that their call lights were in reach. Educate 100% of staff to place call lights within reach of residents. Call light observation audits to be performed by DON or designee 5 times per week for 30 days, and then monthly ongoing. DON or designee to report findings of call light observation audits to QAΡΙ committee meeting monthly.