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F0689
D

Call Light Accessibility Not Maintained for Dependent Resident

Holland, Michigan Survey Completed on 12-30-2025

Penalty

No penalty information released
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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

The facility failed to ensure that call lights were within reach for a resident with significant physical and cognitive impairments. The resident, who had left-sided paralysis following a stroke and moderate cognitive impairment, was observed in bed with the touch pad call light out of reach. The resident reported that the call light was out of reach two to three times a day, causing frustration. A staff member confirmed during the observation that the call light was not accessible to the resident. Review of facility policy indicated that staff are educated to ensure resident access to call lights, but this was not followed in this instance.

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