Delayed Call Light Response and Insufficient Staffing
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of residents, resulting in delayed responses to call lights and unmet care needs. Resident Council Meeting notes and grievance forms documented multiple complaints from residents and family members regarding long wait times for call light responses, delays in receiving coffee, late medication administration, and untimely blood sugar checks. Four out of seven interviewed residents with intact cognition reported waiting between 30 minutes to two hours for staff to respond to their call lights, with one resident stating he waited several hours for requested medication and treatments. Residents also reported concerns about staffing shortages and delays in laundry and room cleaning. Staffing schedules provided by the DON indicated that each shift was staffed with two CNAs and one nurse or CMA per hall, but residents and family members continued to report unmet needs and delays in care. The DON confirmed that she sometimes worked the floor when on call during weekends. The documented concerns and interviews demonstrate that the facility did not ensure adequate staffing levels to provide timely care and meet residents' needs as required.