Non-Functioning Call Light System in Resident Rooms
Penalty
Summary
The facility failed to ensure that the resident call light system was fully operable and functioning for two of three residents observed during an onsite investigation. During the survey, a call bell function test was conducted in the presence of an LPN, where the call light indicator outside a resident's door did not activate despite multiple attempts. The LPN confirmed that the call bell/light was not working. A similar observation was made with another resident, who also pressed their call bell several times without the indicator light activating outside their door, even after repeated attempts. Interviews with facility staff revealed that the nurse unit manager stated staff are alerted to call lights by beeping at the nurse's station or by the lights outside residents' doors, but denied being informed of any issues with the system. The DON acknowledged awareness of a previous issue with the call light system in July, which was believed to have been resolved the same day, and denied knowledge of any ongoing problems. The administrator also stated they were previously unaware of concerns with the call light system. No further explanation or documentation regarding the call light system's operability was provided by the end of the survey.