Call Light Inaccessibility for Resident with Cognitive and Physical Impairments
Penalty
Summary
A deficiency occurred when a resident's call light was not accessible while the resident was in bed, contrary to the facility's policy requiring call lights to be within reach. The resident, who had Alzheimer's disease, a history of urinary tract infections, moderate cognitive impairment (BIMS score of 9/15), and required assistance with transfers, ambulation, and toileting, was observed multiple times over the course of a morning with the call light lying on the floor approximately five feet from the bed. The resident used a wheelchair and walker and had an activated Power of Attorney for Healthcare. During interviews and observations, the resident indicated an inability to locate or reach the call light when needing to use the bathroom. Staff confirmed the call light was not accessible and acknowledged that it should always be within reach for all residents, as per facility policy. The Director of Nursing also confirmed that the call light should have been accessible at all times.