Delayed Call Light Response and Inadequate Toileting Assistance Undermine Resident Dignity
Penalty
Summary
The facility failed to honor residents’ rights to dignity and self-determination by not responding to call lights within a reasonable time for two residents who required staff assistance with toileting. One resident with no cognitive impairment, care planned as needing extensive assistance with transfer and ambulation to the bathroom using a rolling walker, reported that call lights take a long time to be answered and stated that on the morning of 2/6/26 they waited 30 minutes for help to use the bathroom, fearing they would have a bowel movement in their chair and feel embarrassed. Another resident, also with no cognitive impairment and care planned as requiring assistance with toileting, reported that when they need to use the bathroom they sometimes have to defecate in their incontinence brief because staff take so long to respond, or they attempt to walk to the bathroom independently. This resident described sitting on the edge of the bed for 30 minutes that morning waiting to use the bathroom, ultimately walking to the bathroom and finding their brief full of stool because they could not wait any longer, while their son reminded them they were not supposed to walk alone and the resident replied that they have to if staff do not come. Resident Council minutes from January 2026 documented a request from residents for more help from CNAs.
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