Health inspection·April 17, 2024

F 0919 Make sure that a working call system is available in each resident's bathroom and bathing area. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure that five of five sampled residents call cords were within their reach. Additionally, one resident, Resident 1, did not have an accessible type of call system that was appropriate for his functional level. Additionally, Residents two through five call cords were not placed within their reach. Residents Affected - Some This failure had the potential to prevent residents from obtaining needed assistance from staff. Findings: Resident 1 was admitted on [DATE] with diagnoses that included tremor (shaking or trembling movement in one or more parts of the body), encephalopathy (damage or disease that affects the brain, generalized weakness, and admitted to hospice care. On 4/3/24 at 12:10 P.M. an observation of all resident call cords was conducted. Resident 1 ' s call cord hung from the wall to the floor out of reach. Resident 2 was in a wheelchair with the call cord hanging from wall to floor. The call cord was not accessible from across the room where the resident ' s wheelchair was parked. Resident 3 ' s call cord hung from the wall to the floor out of reach. Resident 4 ' s call cord hung from the wall to the floor out of reach. Resident 5 ' s call cord hung from the wall to the floor out of reach. On 4/3/24 at 12:45 P.M. an interview and concurrent observation of Resident 1 ' s call cord which hung from the wall to the floor out of his reach was conducted with Licensed Nurse (LN) 1 who stated the call cord should be where (Resident 1) can reach it and Maybe he needs a different kind of call button. On 4/3/24 at 1:10 P.M. an interview was conducted with LN 2 who stated, The call cords should be where residents can use them. On 4/3/24 at 1:30 P.M. an interview was conducted with the Director of Nursing (DON) who stated the staff had been reminded to put the call cords within reach of the residents. The DON stated it was her expectation that residents are able to reach and use their call cords. A review of the facility policy entitled Communication – Call System revised January 1, 2012 indicated, Call cords will be placed within the resident ' s reach in the resident ' s room. When the resident is out of bed, the call cord will be clipped to the bedspread in such a way as to be Page 1 of 2 055685 055685 04/17/2024 Brighton Place Spring Valley 9009 Campo Road Spring Valley, CA 91977

F 0919 available to a wheelchair bound resident.Adaptive call bell provided to resident per resident ' s needs. Level of Harm - Minimal harm or potential for actual harm On 4/12/24 at 10:42 A.M., a telephone interview with the Administrator (ADM) was conducted. The ADM stated the current call cord system did not allow switching of the cord for an adaptive device such as a soft touch call button. Residents Affected - Some 055685 Page 2 of 2