Failure to Keep Call Lights Within Reach for Two Residents
Penalty
Summary
The facility failed to ensure residents' call lights were within reach as required by its "Call Light Response Time" policy, revised 10/15/22, which states that call light systems are expected to be available and within reach at the bedside and in toileting and bathing areas. For one resident with multiple diagnoses including unspecified psychosis and muscle weakness, surveyors observed her sitting at her side table in the middle of her room eating breakfast while her call light was tied around the nightstand drawer handle behind her next to the bed, out of her independent reach. A CNA confirmed that this resident's call light should have been within reach and was not. Another resident, admitted with multiple diagnoses including hemiplegia and diabetes, was observed reclining in bed with his call light placed on the bedside table to the left side of the bed, which he stated he could not reach after staff had assisted him with cares. A CNA confirmed that this resident's call light also should have been within reach and was not. The CNO further stated that resident call lights should be within residents' reach and acknowledged that in these instances they had not been.
