Failure to Ensure Call Light Accessibility for Resident with Severe Cognitive Impairment
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that a resident's call light was within reach, as required by the resident's care plan, which specifically noted the need for the call light to be accessible due to the resident's potential for falls and injuries. The resident in question was a female with diagnoses including polyosteoarthritis, dementia with severe cognitive impairment (BIMS score of 3), and muscle weakness. Despite these conditions and the documented care plan intervention, the call light was not placed within the resident's reach, as observed and confirmed through record review and interviews.