North Ridge Health And Rehab

During an interview on [DATE] at 12:33 p.m., R6 stated it sometimes took staff 15-20 minutes to answer her call lights, but could not recall when that happened, but waited for help to get changed (incontinent brief) and laid wet. R3 further stated she did not like to smell of urine or being wet.

During an interview on [DATE] at 4:34 p.m., registered nurse (RN)-A acknowledged some of R3's call light response times, were not great, but R3 required two staff to provide care and may be incontinent while waiting for staff assistance to toilet. RN-A further stated all staff, including the providers, required a second staff presence when working with R3, and NA staff was afraid to help R3 because R3 was verbally abusive to staff and would yell at them, kick them out of her room, and make false accusations about staff care. RN-A acknowledged the facility would need to come up with a plan to provide more timely care for R3, and staff was required to meet R3's care needs even with care challenges. RN-A stated the expectation was to answer call lights in 10-15 minutes for all residents.During an interview on [DATE] at 4:55 p.m., the director of nursing (DON) stated the expectation was to answer call lights as soon as possible, per the facility policy.

The DON acknowledged she reviewed the call light reports prior to providing them to the surveyor, call light response times were not the facility's best, and the facility would develop a plan to answer them timelier for residents who required care in pairs.

The Call Light policy dated 10/24, indicated staff would answer call lights as soon as possible.

The Resident Rights policy dated 11/24, indicated residents had the right to a dignified existence and access to persons and services inside the facility, regardless of diagnoses and severity of condition.

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