Emergency Bathroom Call-Light Systems Not Maintained or Accessible
Penalty
Summary
Surveyors identified that the facility failed to ensure emergency bathroom call-light systems were properly installed, maintained, and accessible in several rooms on the 4th floor. Specifically, observations revealed missing shower call-light cords in multiple bathrooms and a missing toilet-side emergency call-light cord in one room. In another instance, a shower call-light cord was found stretched across the bathroom doorway from the shower side to the toilet side. Staff interviews confirmed that the call-light cord had been moved, but the CNA was unaware of the reason for its placement. The Maintenance Director confirmed that the toilet call-light cord had been ripped off and additional rooms were missing shower call-light cords, requiring immediate repair. The DON was not aware of the missing or damaged call-light cords until the survey and acknowledged that these conditions were hazardous. The facility's policy requires that the call system be accessible to residents in each toilet, bath, or shower facility, including when a resident is lying on the floor. At the time of the survey, fifty-four residents resided in the facility, and the deficient practice was observed in three rooms out of sixty on the 4th floor.