Failure to Ensure Call Lights Within Reach for Residents
Penalty
Summary
Surveyors identified that the facility failed to ensure call lights were within reach for two residents with significant cognitive and physical impairments. For one resident with diagnoses including COPD, diabetes, and dementia, and who required maximal assistance with activities of daily living, the call light was observed behind the bed and out of reach. A CNA confirmed that the resident would not be able to access the call light in that position, and both the RN and DON stated that call lights should be within reach to allow residents to call for assistance. Similarly, another resident with diagnoses including CHF, COPD, epilepsy, and depression, and who required moderate assistance with daily activities, was also found to have the call light placed behind the bed and out of reach. The CNA present confirmed the resident could not reach the call light, and reiterated the importance of accessibility. Facility policy reviewed by surveyors stated that call lights should be within easy reach of residents when in bed or in a chair.