Failure to Maintain Functional Audible Call Light System at Nurse's Stations
Penalty
Summary
The facility failed to ensure that a working call system was available in each resident's bathroom and bathing area, as required. Observations revealed that the call light system outside resident rooms was flashing, but there was no audible sound at either the Hall 100/200 or Hall 300/400 nurse's stations. Multiple staff interviews confirmed that the audible component of the call system had not been functioning for an extended period, with some staff stating it had never worked during their employment. Staff relied solely on visual cues from the flashing lights to respond to resident calls, as the audible alert was not operational. The Administrator acknowledged that the call light system should include both a visual and audible alert to ensure timely staff response, and admitted there was no documentation of routine maintenance or testing of the system by the maintenance department. Review of the facility's policy confirmed that the call system was expected to remain functional at all times and be maintained at an audible level. The lack of an audible alert at the nurse's stations placed residents at risk of not receiving timely care and assistance.