Failure to Maintain Safe Call Light/TV Cord for Resident
Penalty
Summary
A deficiency was identified when a resident, who was cognitively intact and able to communicate their needs, was found to have a call light/TV cord in their room with exposed colored wires near the control. The resident reported having informed staff about the damaged cord and requested a replacement, but no action was taken to address the issue. Multiple observations over several days confirmed the presence of the exposed wires on the cord. Staff interviews revealed that the maintenance director was not made aware of the issue until it was brought to their attention during the survey, and that the facility's process for reporting non-urgent maintenance issues involved staff submitting a work order on the computer. The assistant DON stated that staff were expected to notify maintenance of such issues and escalate urgent matters to management. The failure to promptly replace the damaged call light/TV cord resulted in the equipment not being maintained in a safe operational condition.