Failure to Provide Accessible Call Light for Resident with Physical Limitations
Penalty
Summary
The facility failed to ensure that a resident with significant physical limitations had access to a call light that could be used independently. The resident, who had diagnoses including Parkinson's disease, abnormal posture, muscle wasting, generalized osteoarthritis, and muscle weakness, was cognitively intact but required maximal to total assistance for most activities of daily living. During observation and interview, the resident was unable to locate or use the call light due to insufficient hand strength to press the button, and expressed difficulty in calling for help. A CNA confirmed that the resident was unable to press the call light button and suggested an alternative device for easier use. This deficiency resulted from the facility's inaction in providing a call light system that accommodated the resident's physical limitations, thereby preventing the resident from being able to summon staff assistance when needed.