Failure to Maintain Functional Call Bell System on West Nursing Unit
Penalty
Summary
The facility failed to maintain a fully functioning resident call bell system on the West nursing unit, including resident bathrooms and bathing areas. Staff interviews with an LPN and two nurse aides revealed that they must visually monitor call lights outside resident rooms because the call light sound system is not working, and the shower room call light is constantly alarming. During observation, the surveyor noted the shower room light was alarming, a resident’s call light above his door was illuminated without any audible alarm, and the central light panel showed the shower room light illuminated. The Maintenance Director confirmed that the facility failed to maintain a fully functioning resident call bell system that allows residents to call for staff assistance through a communication system on the affected nursing units. No additional resident medical history or specific clinical conditions were documented in the report beyond the observation that a resident had an illuminated call light above his door at the time of the surveyor’s observation.
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