Call Light Not Accessible to Resident with Impaired Cognition and Mobility
Penalty
Summary
On two separate occasions, a resident's call light was observed to be on the floor and out of the resident's reach, first under the bed and later next to the bed. During one of these observations, an LPN entered the room and was questioned about the proper placement of the call light, at which point the LPN picked up the call light and clipped it to the resident. Another LPN confirmed in an interview that the expectation is for the call light to be clipped to or located beside the resident within their reach. The resident involved had a history of respiratory failure and muscle weakness, with moderately impaired cognition and required moderate to total assistance for all activities of daily living except eating, as documented in the most recent MDS assessment.