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F0919
E

Inaccessible and Nonfunctional Call Lights in Shower Rooms

Justin, Texas Survey Completed on 05-06-2025

Penalty

No penalty information released
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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 resident shower rooms were adequately equipped with functioning call systems. Specifically, in the 100 hall shower room, the call light in the shower area was missing a cord, making it inaccessible to residents. In the 200 hall shower room, the call light in the shower area was not working. These deficiencies were identified through resident interviews, which revealed ongoing complaints about the lack of an accessible call light cord, and through direct observations with facility staff confirming the missing and nonfunctional call lights. Interviews with staff indicated that CNAs and nurses were responsible for checking the functionality of call lights during cleaning and were expected to report issues to maintenance using a QR code system. However, the Maintenance Director was unaware of the nonfunctional call light in the 200 hall shower room until it was brought to his attention during the survey. The facility did not have a specific policy regarding call lights, and maintenance checks of shower rooms occurred infrequently, sometimes as seldom as once a month. The Administrator was not aware of the deficiencies until the survey and expected staff to report maintenance concerns as they arose.

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