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F0725
D

Insufficient Nursing Staff Resulting in Delayed Call Bell Responses

Carlisle, Pennsylvania Survey Completed on 06-26-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to provide sufficient nursing staff to meet the needs of residents on one of its nursing units, specifically the West wing. During the survey, ten residents reported concerns regarding delayed call bell response times and inadequate staffing. Review of facility grievances from April, May, and June 2025 identified three complaints related to extended wait times for call bells to be answered. Additionally, Resident Council Meeting minutes from April and May 2025 documented resident complaints about prolonged call bell wait times. Direct observation on June 23, 2025, showed that call lights in specific rooms remained activated for extended periods, with one call bell not answered for 27 minutes and another for 32 minutes. The Nursing Home Administrator did not provide further information during the interview.

See complete original report
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