Nonfunctional Call Bell System Leaves Residents Without Means to Request Assistance
Penalty
Summary
A deficiency was identified when it was observed that the call bell system in the bathroom and bathing area for two residents was not functional. The call light above their room door remained illuminated, indicating a malfunction. Staff interviews confirmed that the call bell had been broken since a specific date and that the issue persisted over the weekend. Both residents reported that they were unable to use the call bell to request assistance and had to wait for staff to enter their room during routine rounds. Further interviews revealed that staff were aware of the malfunction but did not notify the facility administrator. The administrator confirmed that he was not informed about the broken call bell and could not provide evidence to dispute the deficiency. The lack of a working call system left the residents without a means to call for help in their bathroom and bathing areas for several days.