Lack of Accessible Call Light in Spa Tub Room
Penalty
Summary
Surveyors found that the facility did not provide adequate equipment to allow residents to call for staff assistance in each resident's bathroom and bathing area. Specifically, a resident was left unsupervised in a spa tub room without access to a call light or a call light cord long enough to reach the spa tub area. Observations in both the 400-wing and 100-wing spa rooms confirmed the absence of a call light in the spa tub rooms, with available call lights only located near the vanity and shower areas, not accessible from the spa tub. Interviews with the DON and NHA revealed that staff were unaware of the lack of a call light in the spa tub room and that the resident's preference for privacy during spa baths had not been formally care planned or assessed for safety. The NHA acknowledged not realizing there was no call light in reach and was unaware of the deficiency until it was pointed out by the surveyor. The deficiency had the potential to affect all residents using the spa rooms, as none had access to a call system while in the spa tub.