Call Light Not Accessible to Dependent Resident
Penalty
Summary
A deficiency was identified when a resident, who was cognitively impaired and dependent on staff for transfer, toileting, dressing, and bathing, was observed lying in bed with the call light placed underneath her legs, making it inaccessible. The resident had a medical history including seizures, hypothyroidism, and osteoporosis, and required assistance for most activities of daily living. During the observation, a CNA confirmed that the call light should have been within the resident's reach to allow her to call for assistance, and acknowledged that its inaccessibility could delay care. Further interview with the Assistant Director of Nursing corroborated that the call light was not within reach, which could result in delayed response to the resident's needs. Review of the facility's policy indicated that call lights are to be accessible to residents when in bed or in a wheelchair, and the observed situation did not comply with this policy. The deficiency was based on direct observation, staff interviews, and review of facility policy and resident records.