F0919

E

Inaccessible Call Light Systems for Bedbound Residents

Albuquerque, New Mexico Survey Completed on 01-28-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to ensure that the resident call system was accessible to residents who were in bed. During an observation on 01/20/26 at 4:18 pm, one resident (R #8) was found in bed with the call light button hanging on the side of the bed and nearly touching the floor, out of the resident’s reach. The resident stated she uses the call light button to call for help but did not know where her call light button had gone. In a subsequent interview at 4:20 pm, an LPN confirmed that the call light button was on the side of the bed and not within the resident’s reach, and acknowledged that call light buttons are required to be within reach at all times and that this had not occurred.

On 01/21/26 at 9:44 am, another resident (R #41) was observed in bed with the call light button draped over the headboard, also not within reach. In an interview at 4:21 pm, a CNA confirmed that the call light button was draped over the headboard and not accessible to the resident, and similarly stated that call light buttons must be within reach at all times and that this requirement had not been met.