Health inspection·October 4, 2023

F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review the facility failed to answer resident call lights timely for five (R1, R2, R3, R4 and R5) of seven Residents reviewed for call lights in a sample of seven. Residents Affected - Some Findings include: Facility Resident Call Bells Policy, revised 11/5/2020, documents: it is the Policy of the Facility to ensure Residents have a functioning call bell to alert staff to their needs and that calls are responded to timely; and any staff member that hears or sees a call bell on is responsible to answer within a reasonable time frame. Facility Certified Nursing Assistant Job Description, undated, documents to answer call lights promptly. Facility Resident/Family Concern/Grievance Log, 5/16/23, documents Resident concerns (three of thirteen Residents) that call lights are taking fifteen to twenty minutes to be answered on Second and Third Shift. Facility Resident/Family Concern/Grievance Log, 6/15/23, documents Resident concerns (six of thirteen Residents) that Certified Nursing Assistants (CNA's) are taking twenty to thirty minutes to answer call lights on Second Shift. Facility Resident/Family Concern/Grievance Log, 8/3/23, documents Resident concerns (five of ten Residents) that call lights are taking forty minutes to be answered. Facility Resident/Family Concern/Grievance Log, 9/18/23, documents Resident concerns (nine of eleven Residents) that call lights are taking forty minutes to an hour to be answered on Third Shift, because CNA's are either smoking or playing on their phones at the nurses' station. The Facility Resident Council Minutes, dated 5/10/23, document that three of fourteen Residents in attendance are complaining that call lights on Second Shift are taking fifteen to twenty minutes to be answered. The Facility Resident Council Minutes, dated 6/14/23, document that six of thirteen Residents in attendance are concerned that CNA's are taking twenty to thirty minutes to be answered on Second Shift. The Facility Resident Council Minutes, 7/5/23, document that seven of ten Residents in attendance are concerned that call lights are taking forty minutes to an hour to be answered on Third Shift. Page 1 of 2 145021 145021 10/04/2023 Macomb Post Acute Care Center 8 Doctors Lane Macomb, IL 61455

F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some The Facility Resident Council Minutes, 8/2/23, document that five of ten Residents in attendance are concerned that call lights are taking forty minutes to be answered on all shifts. The Facility Resident Council Minutes, 9/6/23, document that nine of eleven Residents in attendance are concerned that call lights are still taking forty minutes to an hour to be answered on Third Shift and they are usually sitting behind the nurse's station on their phone. On 10/1/23 at 10:37 am, R1 stated, They are a little slow with the call lights. It usually takes them at least twenty to thirty minutes and Second Shift seems to be the worst. On 10/1/23 at 8:31 am, R2 stated, I have to wait a long time for my call light to be answered, sometimes it takes up to an hour and a half, to two hours. They have to reposition me in bed. I told (V1/Administrator) and (V1) told me that they never have call light problems. (V1) was supposed to look into the problems, but (V1) has never gotten back to me. It is funny that they do answer them faster and treat me better when my daughter is here though. On 10/1/23 at 8:10 am, R3 stated, They do not have enough staff, it usually takes them, at best, about twenty minutes to answer my call light, unless they are really busy, then it takes them way longer. It seems like it takes longer at the change of shift, so I just try and not put my call light on at that time. On 10/1/23 at 12:40 pm, R4 stated, The longest I have had to wait recently for my call light to be answered is about thirty minutes. The shift changes in the afternoon and at night are the worst. On 10/1/23 at 8:20 am, R5 stated, I know that they try their best with the call lights, but sometimes it can take them quite a bit of time to get here. On 10/1/23 at 12:02 pm, V2 (Director of Nursing) stated, We know that we have issues with the call lights. (V7/Social Service Director) and I have been doing audits. I will continue to educate my staff, because these complaints are way too long for them to wait for a call light to be answered. On 10/1/23 at 11:50 am, V1 (Administrator) stated, We know that the call lights are an on-going issue and we continue to try and fix them. We will see what we can do making them better. On 10/4/23 at 10:17 am, V1 (Administrator) stated, they tell us that call lights are a concern in the Resident Council meetings, but I never really find out much information other than that there are concerns. I do not know specifics like what shift or things like that. 145021 Page 2 of 2