Failure to Ensure Functioning Call Bell System Resulting in Immediate Jeopardy
Penalty
Summary
The deficiency involves the failure of the Nursing Home Administrator (NHA) and the Director of Nursing (DON) to effectively manage the facility so that it provided a fully functioning call bell system for one resident (R1), resulting in an immediate jeopardy situation. The NHA’s job description specified responsibility for overseeing overall operations, including resident care, customer service, and the welfare and safety of residents, while the DON’s job description specified responsibility for planning, organizing, developing, and directing the overall operation of the nursing services department and coordinating nursing services with other departments to maintain quality of care. Despite these defined responsibilities, the facility did not ensure that one resident had access to a fully functioning call bell system. As a result, the facility failed to provide fundamental principles that apply to treatment and care, and failed to ensure that residents receive treatment and care in accordance with professional standards of practice and facility policy.
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