Delayed Response to Call Light for Dependent Resident
Penalty
Summary
A dependent resident with a history of falls and significant ADL needs was observed waiting 33 minutes for assistance after activating his call light to request help returning to bed due to leg pain. During this period, staff were seen engaging in social conversations in the hallway and assisting other residents, but did not check on the resident or assess his needs. The resident expressed frustration about frequent long waits for assistance, difficulty calling out due to a weak voice, and being left alone in the bathroom for extended periods. The resident's care plan indicated he was at risk for falls and required staff assistance for most basic needs, including mobility and toileting. Interventions included ensuring the call light was within reach and anticipating his needs. Despite these interventions, staff did not respond to the call light within the facility's expected 15-minute timeframe, nor did they check on the resident during the wait. The facility was fully staffed at the time, and the call light system did not provide a historical log for review.