Failure to Ensure Call Light Accessibility for Cognitively Impaired Resident
Penalty
No penalty information released
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Summary
The facility failed to ensure that the call light pendant was within reach for a resident who was severely cognitively impaired, used a wheelchair, and required moderate assistance with activities of daily living. Medical record review indicated the resident had multiple diagnoses, including Alzheimer's disease, osteoporosis, osteoarthritis, hyperlipidemia, heart failure, and anxiety. On multiple occasions, observations revealed the resident was either lying in bed or sitting in a wheelchair without the call light pendant within reach. Staff interviews, including those with the Wellness Director, RN, and DON, confirmed that the call light was not accessible to the resident during these times, despite the expectation that it should be.