Delayed Call Light Response Across Multiple Units
Penalty
Summary
The facility failed to provide timely responses to resident call lights on three of four units, as evidenced by multiple resident and family interviews, as well as documentation in Resident Council Minutes. Residents consistently reported waiting 20 to 50 minutes for staff to respond to call lights, with some instances where staff turned off the call light and did not return for an extended period. Resident Council Minutes from April, May, and June 2025 documented ongoing concerns about delayed call light responses, and several cognitively intact residents confirmed these delays during interviews. A family member also reported frequent delays of 30 minutes or more for call light responses. The Director of Nursing acknowledged awareness of the issue and stated that the facility's standard is to answer call lights within 15 minutes. Despite this expectation, the reported experiences indicate that the facility did not consistently meet the needs of residents for timely assistance, as required.