Failure to Timely Respond to Resident Call Bells
Penalty
Summary
The facility failed to ensure that call bells were answered in a timely manner for two residents. One resident, admitted with hemiplegia and hemiparesis following a stroke and assessed as cognitively intact, reported waiting up to an hour for assistance to get off the toilet, with call bell wait times sometimes reaching 30 minutes. Another resident, also cognitively intact and admitted with muscle wasting, atrophy, arthritis, and multiple rib fractures, stated that the call bell was never answered timely. Direct observation confirmed that this resident's call bell light remained on for at least 23 minutes, and the resident reported waiting at least 30 minutes for a cup of coffee. These findings were based on resident interviews, clinical record reviews, and direct observation.