F0919

E

Failure to Maintain Functional Nurse Call System on Second Floor

Canandaigua, New York Survey Completed on 03-17-2026

Penalty

No penalty information released

Summary

The deficiency involves the facility’s failure to properly maintain a functional nurse call system on the second floor, including resident bathrooms and bathing areas. The facility’s electrical equipment policy required patient care related electrical equipment to be tested before first use, after repairs or modifications, and at least annually, with documentation of all tests, repairs, and modifications maintained on site. During observation, the surveyor noted a nurse call system visible indicator with an audible tone on the ceiling at the intersection of the East and North corridors on the second floor. When nurse call stations in several resident rooms (205, 206, 209, 216, and 231) were activated and then reset at the bedside or in the bathrooms, the corridor visible indicator and audible tone remained on and would not reset as intended.

Further observation showed that there was no central nurse call panel at the second-floor nurse station. Maintenance staff reported that the panel had been removed for a few months because it had stopped working and that the system was in the process of being bid out for replacement. Maintenance also acknowledged ongoing issues with shorts in the system, causing corridor stations to stay lit and the tone to continue sounding until the system was manually reset, after which it would work properly only for a time. Record review revealed that the most recent inspection logs for the second-floor nurse call system were dated several months earlier and did not document any problems or recommendations, despite the ongoing issues described by staff. The Administrator confirmed that the second-floor call system had been problematic shortly after the last survey and that the main panel had been removed from the second floor months prior to the current survey.