Call Light Removed from Resident's Reach by CNA
Penalty
Summary
A deficiency occurred when a Certified Nursing Assistant (CNA) removed a resident's call light and placed it out of the resident's reach, resulting in the resident not having access to the call light. The facility's policy on the prevention of abuse requires staff to deliver care in a manner that respects residents' rights and ensures their safety, including access to assistance. The resident involved had multiple diagnoses, including muscle weakness, cognitive communication deficit, lack of coordination, and required staff assistance for all activities of daily living (ADLs), transfers, bed mobility, and personal care. The resident's care plan specifically indicated a need for staff assistance with toileting, transfers, and other ADLs due to physical and cognitive limitations. The incident was confirmed through interviews and record review. The resident recalled the incident and identified the CNA involved, stating that other staff members treated him well and that he felt safe in the facility. The Director of Nursing (DON) confirmed that the CNA admitted to removing the call light and placing it out of reach. The resident did not experience any negative or adverse outcomes during the period without the call light, but the removal itself constituted neglect of the resident's needs as outlined in the facility's policies and the resident's care plan.