Failure to Ensure Resident Call Light Was Within Reach
Penalty
Summary
The deficiency involves the facility’s failure to reasonably accommodate a resident’s needs and preferences by ensuring the call light was within reach. During an observation and interview on 12/11/25 at 7:55 a.m., the resident was heard yelling from her room asking staff for help, stating she wanted a nurse because she was in pain and needed pain medication. At that time, the resident’s call light was observed under the bed, stuck between the bed wheels and out of the resident’s reach. The resident confirmed she could not reach the call light and needed a nurse to administer pain medication. In a subsequent interview at 8:00 a.m. on the same day, a CNA confirmed that the resident’s call light was not within reach and stated that the call light should be within reach at all times. Based on these observations and interviews, the facility failed to provide reasonable accommodation of the resident’s needs by not ensuring access to the call light.
