Inaccessible Call Light Systems in Resident Bathrooms and Bathing Areas
Penalty
Summary
The facility failed to provide an accessible and functioning call system in each resident's bathroom and bathing area, as required by its own policy. Observations revealed that in multiple private bathrooms, the call light cord was installed only near the toilet and did not extend to the shower area, leaving a significant distance between the shower and the call light. In one resident and staff accessible restroom, the call light system was present but lacked a pull cord, rendering it inoperable. Additionally, the therapy gym restroom had no call light system installed at all. These deficiencies were confirmed through direct observation and interviews with staff and residents. A resident expressed concern that the call light cord did not reach the shower, noting that if someone fell while showering, they would be unable to call for help. Staff interviews indicated that CNAs would remain in the room during showers due to the call light limitations, and the ADON stated she would stand outside the bathroom door if a resident showered independently without access to a call light. The DON and Administrator acknowledged the issue, with the Administrator stating she would further investigate. The facility's failure to ensure accessible call systems in all toileting and bathing areas directly contravened its policy and left residents without a reliable means to summon assistance in these areas.