Failure to Keep Call Light Within Reach for Dependent Resident
Penalty
Summary
The facility failed to reasonably accommodate a resident’s needs and preferences by not ensuring the resident’s call light was within reach, as required by the facility’s “Call Lights: Accessibility and Timely Response” policy dated 12/31/25, which states staff will ensure the call light is within reach of the resident and secured as needed. Resident #47, admitted with multiple diagnoses including hemiplegia and diabetes, was observed on 2/24/26 at 10:11 AM reclining in bed with the call light pinned to the headwall cord and not within her reach. At 10:12 AM, an RN confirmed that the call light should have been within the resident’s reach but was not. Later, at 12:24 PM, the RSN also stated that resident call lights should be within residents’ reach and acknowledged that in this instance it had not been. This deficiency was identified through policy review, observation, record review, and staff interviews, and involved 1 of 14 residents reviewed for resident rights (Resident #47).
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.