F0919

E

Failure to Keep Call Lights Within Reach for Residents in Their Rooms

Albuquerque, New Mexico Survey Completed on 01-08-2026

Penalty

No penalty information released

Summary

Surveyors identified a deficiency in ensuring that resident call lights were within reach while residents were in their rooms. During observation on 01/05/25 at 10:34 am, one resident was found asleep in a recliner while the call light was lying on top of the bed, out of the resident’s reach. In a concurrent interview at 10:36 am, a hospice nurse confirmed that the call light was not within the resident’s reach and stated that it should have been. In a separate observation on 01/05/25 at 8:58 am, another resident was also found asleep in a recliner with the call light placed on the bed, again out of reach. During an interview at 9:05 am, a CNA confirmed that this call light was not within the resident’s reach and acknowledged that it should have been accessible.

These findings show that for two of four residents reviewed for call light accessibility, staff did not ensure that the call lights were positioned so the residents could use them while in their recliners, despite staff acknowledging that the call lights should have been within reach.