Delayed Call Light Response Due to Insufficient Staffing
Penalty
Summary
The facility failed to ensure timely response to call lights for a resident who was dependent on staff for toileting and was frequently incontinent of urine and always incontinent of bowel. The resident reported waiting up to an hour for call light responses during second and third shifts, resulting in being left in urine or feces. The resident also stated that call light response times were a recurring topic in resident council meetings. A grievance report documented complaints from unidentified residents about slow call light responses on third shift, specifically regarding the need to be changed. Staff interviews confirmed that the number of CNAs on duty was insufficient to meet residents' toileting needs in a timely manner, affecting call light response times. The facility's policy required call lights to be answered as soon as possible, but no later than five minutes, with urgent requests addressed immediately.