Delayed Call Light Response for Dependent Residents
Penalty
Summary
The facility failed to respond to call lights in a timely manner for two residents who were dependent on staff for transfers, toileting, and personal hygiene. Clinical record reviews showed that both residents had significant medical conditions, including heart failure, anxiety disorder, cancer, and high blood pressure, and were non-ambulatory or required substantial assistance. Interviews with the residents revealed that call light response times could take up to 30 minutes before and after meals, and sometimes up to 40 minutes to an hour after lunch, particularly during busy periods such as between 11 AM and 2 PM and on weekends. One resident reported experiencing incontinence due to the long wait for assistance, leading to frustration and upset feelings. Staff interviews confirmed that the expectation was to answer call lights within 15 minutes, but acknowledged that response times sometimes exceeded this standard. The Director of Nursing and the Administrator were aware of the complaints, with the Administrator noting that grievances had been filed and audits conducted regarding call light response times. Resident Council meeting notes also documented concerns about delays in call light responses. Facility policy emphasized the importance of timely responses to residents' requests and needs, but the observed and reported delays indicated a failure to meet these standards for the residents involved.