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F0558
D

Call Light Not Connected for Dependent Resident

Sylmar, California Survey Completed on 05-09-2025

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 with severe cognitive impairment, hemiplegia following a stroke, aphasia, and major depressive disorder was found in bed with their call light clipped to the sheet but disconnected from the wall. The resident required substantial to total assistance with all activities of daily living and was assessed as a fall risk. The care plan for this resident included an intervention to keep the call light and frequently used items within reach to minimize the risk of falls or injury. During an observation, a CNA confirmed that the call light was not plugged in and stated that all residents' call lights should be connected to the wall at all times to ensure proper functioning. The CNA acknowledged that staff are responsible for ensuring call lights are plugged in and operational before leaving residents' rooms. The DON also confirmed that staff should ensure call lights are connected and functioning to allow residents to call for assistance. Review of facility policy indicated that call lights should be plugged in at all times and answered promptly.

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