F0919

E

Failure to Maintain Operational Call Light System for Multiple Residents

Staunton, Illinois Survey Completed on 01-23-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to provide residents with a working call light system in resident bathrooms and bathing areas for 22 of 23 residents reviewed for physical environment. Multiple residents reported that their call lights did not work, including one resident who stated that neither her room nor bathroom call lights functioned and that a tabletop bell provided by the facility was not heard by staff, and another resident who reported her call light did not work and that she could not locate her bell. Surveyor observations confirmed the presence of tabletop bells in some residents’ rooms and the absence of a bell in at least one resident’s room. Facility documentation showed that a grievance had been filed by a resident’s daughter-in-law regarding the call light system being down, and a Call Light Testing Log indicated that 22 residents’ call lights failed during testing. The facility’s own Call Light Guidance Policy stated that when initiated, the system should light up in the room, outside the room, and on a central panel, but interviews with the Maintenance Supervisor and Administrator confirmed that the existing call light system was not functioning and that parts for the old system were unavailable, necessitating full replacement.

These findings collectively show that the facility did not maintain an operational call light system as required by its policy, instead relying on tabletop bells that were inconsistently available and reportedly ineffective for alerting staff, resulting in residents lacking a reliable means to summon assistance from their rooms and bathrooms.