Cambridge Place: Call Light Out of Reach for Resident - KS
That was the situation inspectors found at Cambridge Place on August 24, 2025, when they observed Resident 66 sitting in her wheelchair in her room, her call light mounted to the wall where it had apparently been since she moved from a different room about a month earlier. From her bed, she could not reach it.
Inspectors saw the same thing again that afternoon at 3:00 PM. The call light was still on the wall. Still unreachable from the bed.
Resident 66 had recently undergone a total knee replacement. She was receiving therapy and could not safely walk on her own. She could propel herself through the hallways in her wheelchair, a certified nursing aide told inspectors, and she liked to sit in the hall and the dining room. But when she was in bed, the one tool the facility gave every resident to summon help was across the room from her.
A licensed nurse interviewed on August 24 acknowledged the obvious: every resident should have an accessible call light. The nurse described Resident 66 as mobile in her wheelchair but clear that independent walking was not safe for her.
When inspectors spoke with Administrative Nurse E at 3:15 PM that same day, the nurse confirmed that Resident 66 had moved from another room about a month prior. She had not known the resident lacked a bedside call light. She verified, once it was pointed out to her, that the resident should have had a permanent call light she could reach from her bed, and did not.
A second administrator, Administrative Nurse D, confirmed the same thing two days later when inspectors returned on August 26.
Cambridge Place's own written policy, dated September 9, 2020, was direct on the subject. The facility would ensure every resident had a call light at their bedside and in bathing areas. With each staff interaction in a resident's room or bathroom, staff would make sure the call light was within reach and secured before leaving.
That policy had been in place for nearly five years when inspectors arrived.
The inspection covered 18 residents out of a census of 77. Only one was reviewed specifically for environment. That resident was Resident 66.
Inspectors classified the violation as minimal harm or potential for actual harm, meaning no injury had been documented. But a woman recovering from major joint surgery, unable to walk independently, spending her nights in a bed she could not call for help from, is a person who has to make a calculation every time she needs something: try to get up alone, or wait and hope someone comes.
For more than a month, that was the choice Cambridge Place left her with.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Cambridge Place from 2025-08-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 2, 2026 · Our methodology
CAMBRIDGE PLACE in MARYSVILLE, KS was cited for violations during a health inspection on August 26, 2025.
From her bed, she could not reach it.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.