Failure to Respond Timely to Call Lights
Penalty
Summary
The facility failed to answer call lights in a timely manner for six residents who were reviewed for call light response. Multiple residents, all documented as having no cognitive deficits per their Minimum Data Set (MDS), reported that staff did not respond promptly to their call lights. One resident stated they had to wait on a bedpan for an hour due to unanswered call lights, while another reported being left unattended in the shower. Additional residents confirmed during a resident council meeting that staff routinely ignored call lights, with one resident noting that they had to call out for their roommate because staff did not respond. The Assistant Director of Nursing stated that the expectation is for call lights to be answered within two minutes. The facility's call light policy, revised in September 2022, provides guidance for staff on responding to residents' requests and needs.