Failure to Individualize Call Light System for Blind Resident
Penalty
Summary
The facility failed to reasonably accommodate the needs of a blind resident by not individualizing the call light system to ensure accessibility. The resident, who is legally blind and cognitively intact, reported being unable to see or reach the call light in her private room. She stated that even when the call light was within reach, she could not determine if it was functioning, leading her to feel uncertain and vulnerable when needing assistance. Multiple interviews with staff, including a CNA and an LPN, confirmed that the call light was attached to the wall at the foot of the bed and was not accessible to the resident. Staff acknowledged that the call light was not placed within the resident's reach during the night and that this was a consistent issue. Observations conducted by surveyors corroborated the resident's statements, as the call light was repeatedly found out of reach. The Director of Nursing also recognized the need for a more accessible device for residents with vision impairments. The facility's policy on resident rights was reviewed, which mandates that residents are not deprived of their rights, but the policy was not followed in this case. The resident's medical record confirmed her legal blindness and anxiety disorder, further emphasizing the necessity for individualized accommodations that were not provided.