Inaccessible Call Light Systems in Resident Bathrooms
Penalty
Summary
The facility failed to ensure that call light systems in resident bathrooms and bathing areas were accessible and functional for multiple residents. Specifically, observations on several occasions revealed that the pull strings for the call lights were missing in the shared toilets located inside residents' rooms for five residents. These missing pull strings made it impossible for residents to call for assistance while in the bathroom. The issue was confirmed through interviews with the Maintenance/Housekeeping Director, who was unaware of the missing strings until notified, and acknowledged the absence of the call light strings in the affected areas. Further interviews with the DON and the Administrator confirmed that facility policy requires call light strings to be present and within reach of residents at all times. Both staff members recognized that missing call light strings in bathrooms are a safety concern and that staff are responsible for ensuring the call lights are accessible and secured as needed. The deficiency was identified through direct observation, staff interviews, and review of facility policy, all of which confirmed that the required call light accessibility was not maintained for the affected residents.