Centralia Manor

for other resident in the same room such as R1 for R4. V8 said that R4 did have a horn, but she was trying to use it the wrong way and kept trying to honk the horn, but it wasn't' making any noise so she ended up with bells. V8 said it is harder to hear some of the resident who are on the end of the halls. On 09/23/25 at 10:05AM, V4 (Licensed Practical Nurse/LPN) stated that the facility call light system on 300, 400, and 500 hallways went out around the end of August. V4 stated they gave the resident whistles, bells, and horns to be able to ring and notify staff that they need them. V4 said she thinks that staff can hear the whistles, bells, and horns but it is challenging trying to figure out where the sound is coming from. V4 said she does think it takes the staff long to be able to answer when the resident is ringing, whistling, or honking because they must figure out who it is. V4 stated that she does know there have been a couple of residents that complained that they had an incontinent episode, but she didn't know if it was because of the bells, whistles, or horns and staff not being able to find out who it was or if it is because they have a lot of resident to care for. V7 said that she thinks a lot of the residents wait till the last minute and then try to get staff to help them and staff might be in another room taking care of another residents. On 09/23/25 at 11:40AM, V1 (Administrator) stated that the call light system on 300, 400, and 500 hallways went out on 08/29/25. V1 stated she called someone right away to see what was wrong with the call light system on those halls, but the soonest someone could come look at it was on 09/03/25. V1 said they did come in and look at the call light system and they told her that the system has just out lived its life and that they need to replace the system on those halls. V1 said that when the system went down on 08/29/25 that they did get an alternative call system of whistles, horns, and bells for the residents, so they had a way to communicate when they need help from staff. V1 said that they did try different things with the residents to make sure that they could use the device they gave each resident. V1 said she is not aware of any resident that can't use the device they have been given. V1 said staff has told her that they do have a hard time hearing the devices if the resident has their doors closed or if the resident is at the end of the hall. V1 said she did have a resident complain to her since the call light system was down it was taking a long time for staff to respond to her device. V1 said that on 09/05/25 they gave them an estimate on the new call light system for 300, 400, and 500 hallways. V1 said on 09/08/25 they ordered the new system and then on 09/16/25 they sent in payment for the new call light system. V1 said the company who is installing the new call light system said it could take 2-3 weeks before they could install the new call light system. On 09/23/25 at 12:33PM, V2 (Director of Nursing/DON) stated that they did have a problem with the call light system on 300, 400, and 500 halls it went out around the end of August. V2 said they gave the residents an alternative method to be able to call for help like whistles, horns, and bells. V2 said the shift coordinators also said something about doing 15-minute checks on those residents as well. V2 stated that she didn't know how they were tracking it the 15-minute checks. V2 stated that they don't have any documentation stating that the 15-minute checks were done on those residents. V2 said she has heard resident complain that staff has been in places where it was hard for them to hear the whistle, bells, and horns and that they tell the residents to keep whistling, honking, or jingling the bells until they figure out who it was the was making the sound with their device. On 09/24/25 at 11:00AM, V1 stated that the facility does not have a policy on dignity.

The facility policy titled Call Light with a revised date of 01/04 documents under objective: To respond to resident's request and needs.

Equipment documents: Functioning call light.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/24/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Centralia Manor

1910 East McCord Rte 161 East Centralia, IL 62801

SUMMARY STATEMENT OF DEFICIENCIES