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F0919
F

Facility-Wide Failure of Call Bell System Across Multiple Hallways

Dover, Delaware Survey Completed on 12-16-2025

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 deficiency involves the facility’s failure to maintain a functioning call bell system throughout the building. During multiple observations on 12/9/25, the surveyor found that call bells in several resident rooms were not working; when the call bells were pressed, there was no audible sound and no corridor light activation. Staff present at the time, including LPNs and CNAs, confirmed that the call bells in these rooms were not functioning. Subsequent testing by staff and the surveyor revealed that call bells were not working on the 400 hallway, and then on the 200, 300, 500, and 100 hallways as well. On the 100 hallway, a CNA also confirmed that the personal pagers used to alert CNAs when a call bell is activated were not functioning. The Maintenance Director acknowledged the widespread failure of the call bell system and suggested that a power surge earlier that morning might be the cause. The Nursing Home Administrator confirmed being notified that the call bell system was not functioning and stated that he was reviewing the call bell logs. Review of those logs showed a lack of call bell activations starting at 7:31 AM, indicating that the system had been nonfunctional for several hours before the surveyor’s observations. During this period, residents across multiple hallways did not have access to a working call bell system in their rooms and related areas.

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