Failure to Provide Call Light to Cognitively Impaired Resident
Penalty
Summary
A deficiency was identified when a resident with severe cognitive impairment and a history of prostate cancer was found without access to a call light, as observed during multiple survey days. The resident, who is dependent on staff for daily tasks, was seen lying in bed without a call light, and it was noted that the call light string was missing from the wall. The resident reported that the call light string often breaks and that they had been without a call light for some time, expressing a desire to have one to call for help. Review of the resident's fall care plan indicated that the call light should be within reach and answered promptly. Interviews with nursing staff and the DON confirmed that all residents should have access to a call light, and staff were unaware that this resident's call light was broken.