Delay in Responding to Call Light for Dependent Resident Needing Incontinent Care
Penalty
Summary
A deficiency was identified when a dependent resident did not receive timely assistance with incontinent care. Observation showed that the resident's call light was activated at 5:15 a.m., but was not answered until 5:47 a.m. by the DON, who found the resident had experienced a bowel movement and required care. A CNA began providing care at 5:49 a.m. The resident's medical record indicated diagnoses including end stage renal disease requiring dialysis and a history of stroke, with a care plan noting risk for skin breakdown and the need for assistance with incontinent care. The resident was documented as always incontinent of bowel and bladder and dependent for all ADLs. The DON confirmed that care was provided after the call light was answered and had no further information regarding the delay.