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F0919
D

Call Light Not Accessible to Dependent Resident

Pomona, California Survey Completed on 07-25-2025

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

A deficiency was identified when a resident, who had been admitted with diagnoses including difficulty in walking and lack of coordination, was found to have their call light device on the floor beside their bed, out of reach. The resident's assessment indicated intact cognitive skills but a high level of physical dependence, requiring assistance with toileting, bathing, dressing, and personal hygiene. During an observation, it was confirmed that the call light was not accessible to the resident. Interviews with both an LVN and the DON confirmed that the call light should have been within the resident's reach to allow them to call for help if needed. A review of the facility's policy and procedure on the call system also stated that the call alert device must be placed within the resident's reach. The failure to ensure the call light was accessible constituted a breach of facility policy and resulted in a deficiency.

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