Call Lights Not Accessible to Residents
Penalty
Summary
The facility failed to ensure reasonable accommodation of residents' needs by not providing call lights within reach for nine of eighteen sampled residents. During an initial tour, multiple residents were observed in their rooms with call lights either hooked to glove racks behind the bed, on the floor, or otherwise out of reach. Some residents were unaware of the location of their call lights, while others were observed calling out for help or unable to summon assistance due to the call light's placement. Photographic evidence was obtained for several rooms, confirming the call lights were not accessible. Staff interviews corroborated these findings, with a registered nurse acknowledging that call lights should be within residents' reach. Several residents reported not knowing where their call lights were or described long wait times for assistance, sometimes up to an hour. The deficiency was observed across multiple rooms and affected both residents who could communicate and those who could not respond to interview questions.