Call Light Not Accessible to Resident with Physical Impairments
Penalty
Summary
The facility failed to ensure that a resident with significant physical impairments had access to a call light within reach. The resident, who was admitted with diagnoses including nontraumatic intracerebral hemorrhage, hemiplegia, and hemiparesis, was observed in bed with the call light placed on the wall behind the headboard, out of reach. The resident confirmed that when the call light was not accessible, he would have to call out loudly for assistance if needed. Staff interviews corroborated the observation, with a CNA and LVN both acknowledging the importance of keeping the call light within reach for residents, especially in case of emergencies or when assistance is needed. A registered nurse further noted that lack of access to the call light could delay care, such as timely assistance with toileting, which could lead to adverse outcomes. Review of facility policy confirmed that staff are required to ensure call lights are accessible to residents while in bed.