Holy Cross Rehabilitation And Wellness

light as staff left her room.

The receptionist indicated staff had spoken to Resident R asking her to request all needs in one trip.

The Resolution indicated Resident R was not satisfied with the resolution and planned to call 911 if response times were greater than 15 minutes.

The form did not indicate why the nurse's pager had not been carried by the nurse and was left at the desk for the receptionist to view.On 8/29/25, Resident G's family member had indicated she and the resident were concerned about the call light response times and that the resident sometimes had to wait for over 1 hour for help.

The family member indicated she had come to visit and the Resident was soaked with urine and urine was dripping off of the resident's chair.

Action taken indicated staff working during that period had been given corrective actions.Review of an Education/In-service Record, dated 8/5/25 related to Resident E's concerns on a 7/25/25 Grievance, indicated the in-service topic were ADL care for residents. It had not specifically indicated education related to answering resident call-lights had been provided.On 9/15/25 at 3:30 P.M., the Assistant Director of Nursing provided an undated policy titled, FEDERAL RESIDENT RIGHTS & FACILITY RESPONSIBILITIES, and indicated that it was the current facility policy regarding resident rights.

The policy indicated, .The resident has a right to a dignified existence, self-determination.Dignity, Respect & Quality of Life. A facility must treat each resident with respect and dignity and care for each resident in a manner and in and environment that promotes maintenance or enhancement of his or her quality of life.Resolution of Grievances.

The resident has the right to and the facility must make prompt efforts by the facility to resolve grievances the resident may have.This citation relates to Complaint 1232367.3.1-3(a)

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