Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0919
E

Failure to Provide Functional Nurse Call System for Resident Assistance

Katy, Texas Survey Completed on 12-15-2025

Penalty

No penalty information released
tooltip icon
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 a reliable and effective nurse call system was available and functional for residents, specifically impacting a resident with significant respiratory needs. The call system in the resident's room and bathroom only activated a visual hallway light, with no audible alert to the nurse station or hallway, and the hallway lights were not visible from the nurse station. Staff interviews confirmed that the system did not provide audible alerts and that staff relied on visually monitoring hallway lights, which could not always be seen if staff were in other rooms or areas. Staff and residents had previously complained about the call system, but these concerns were not communicated to the administrator, DON, or maintenance staff. A resident with chronic respiratory conditions, including COPD and respiratory failure, experienced shortness of breath and attempted to call for assistance using the call light system. No staff responded, leading the resident to call 911 for help. Emergency medical personnel arrived and found that the nurse call system did not provide adequate notification to staff, as only a light above the door was activated without an audible alert. The EMTs had to contact the facility's front desk to alert staff to the resident's needs. The resident reported feeling that her oxygen supply was inadequate at the time and could not recall staff responding to her activated call light. Observations by the surveyor confirmed that the nurse call system in multiple rooms only activated a visual hallway light, with no audible alert in the hallway and only a low audible alert at the nurse station. Maintenance logs showed no repairs to the call light system in the 30 days prior to the incident, and the administrator and DON were unaware of any ongoing issues. Staff interviews indicated that the lack of an effective call system limited their ability to respond promptly to residents' needs, particularly for those with urgent medical conditions.

An unhandled error has occurred. Reload 🗙