Failure to Ensure Call Light Accessibility for Two Residents
Penalty
Summary
The facility failed to accommodate the needs of two residents by not ensuring their call lights were within reach and functioning. For one resident, the call light was found on the floor and not accessible, as confirmed by both a CNA and a licensed nurse during observation and interview. The resident's care plan indicated a moderate risk for falls due to confusion and unawareness of safety needs, and specifically required the call light to be within reach and prompt responses to requests for assistance. For another resident, the call light was observed hanging on the wall behind the bed, also out of reach. A CNA confirmed this during observation and interview, stating the importance of call light accessibility for timely assistance. The DON stated her expectation that all residents have working call lights within reach and that CNAs should check on this during rounds. Facility policy required call lights to be accessible to residents when in bed.