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F0558
D

Call Light Not Plugged In and Non-Functional for Dependent Resident

Monrovia, California Survey Completed on 05-13-2025

Penalty

No penalty information released
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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

A deficiency was identified when a resident's call light was found unplugged and non-functional during an observation. The resident, who had diagnoses including conversion disorder and aphonia, was dependent on staff for toileting hygiene and required maximal assistance. The call light button was observed hanging on the trapeze handle, with the plug disconnected from the wall outlet. The wall outlet was located on the head part of the bed and toward the right side, while the resident was unable to move the right side of their body, making it impossible for them to reconnect the call light independently. Staff interviews revealed that the LVN had been in the resident's room earlier in the day but did not check the call light plug at that time. The CNA noted that the resident typically called for assistance frequently and had wondered why there were no calls that day, but did not check the call light's functionality. The DON confirmed that the call light should be within reach and functioning. Review of facility policy indicated that call lights are to be plugged in and operational at all times.

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