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F0558
E

Failure to Ensure Call Lights Were Within Reach of Residents

Fort Worth, Texas Survey Completed on 07-10-2025

Penalty

Fine: $267,250
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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

Surveyors observed that the facility failed to ensure call light cords were within reach for five residents who were in their beds at the time of observation. Specifically, one resident's call light cord was stored in a bedside dresser, another's was under the mattress, and three others had their cords hanging from the light above the head of the bed. Follow-up observations confirmed that the call lights remained out of reach for these residents. Interviews with the residents revealed that several were unable to locate their call light cords, though some stated they could use the call light when needed and that it was not out of reach very often. Some residents were non-responsive to interview questions. Staff interviews, including those with an RN, CNA, LVNs, and the DON, consistently indicated that call light cords are required to be within reach of residents to allow them to call for assistance. The facility's policy on call light accessibility, dated 10/13/22, also specifies that staff must ensure call lights are within reach and secured as needed. Despite this policy and staff awareness, the observed failure to keep call lights accessible for these residents constituted a deficiency in accommodating resident needs and preferences.

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