Failure to Ensure Call Light Accessibility per Care Plan
Penalty
No penalty information released
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 determined that the facility failed to ensure a resident's call light was within reach as required by the individualized care plan. During observation, the resident was found lying in bed with a hand bell on the tray table and the call bell cord on the floor, out of reach. The resident reported using the hand bell or yelling for assistance because staff did not respond to the bell. When the surveyor tested the hand bell, there was no response, but when the call bell was activated, a geriatric nursing assistant responded after several minutes. The care plan for the resident specifically documented the intervention to keep the call light within reach at all times, which was not followed.