Cameron Nursing Center

Review of the resident's quarterly MDS, dated [DATE], showed:-The resident had adequate hearing, clear speech, and was usually able to make self understood and usually understands others;-He/She scored 13 on the BIMS, indicating minimal cognitive impairment;-He/She used a walker and wheelchair for mobility;-The resident required supervision for ADLs, including dressing, bathing and personal hygiene.

Review of the resident's comprehensive care plan, dated June 26, 2025, showed:-Interventions related to impaired visual function, altered respiratory status/receiving respiratory therapy related to obstructive sleep apnea (a common sleep disorder characterized by repeated episodes of partial or complete blockage of the upper airway during sleep);-The resident had ADL self-care performance deficit related to Parkinson's disease and malignant neoplasm of the brain;-The resident was at risk for falls, bladder incontinence and seizure disorder.During an interview on November 3, 2025 at 12:25 P.M., Resident #4 said:-It has been two weeks that the call light system has not worked.

The staff gave the resident and his/her roommate whistles to use to call the staff;-When asked where the resident's whistle was, he/she pointed out it was tied to the drawers next to the bed.

When asked how he/she would call for staff if he/she could not reach the whistle, the resident stated he/she would yell until someone came; -Resident #4 said that a few days ago, he/she spilled water on the floor;-He/She used the whistle for several minutes but no staff came to assist;-The resident stated he/she then propelled his/her wheelchair into the hall and down to the nurses station to find some help to clean up the water;-The resident stated this made him/her feel frustrated and afraid that if he/she fell or got sick, no one would hear the whistle and come help.

During an interview on November 3, 2025 at 1:37 P.M., Certified Nurses Assistant (CNA) A stated:-The staff gave the residents whistles and bells to call for staff while the call light system is not working;-Residents with breathing problems were supposed to be given bells; -The staff were instructed to do increased rounding on the hall where the call lights were not working;-He/She said the staff were rounding every two hours.

During an interview on November 3, 2025 at 1:45 P.M., Licensed Practical Nurse (LPN) A said:-Residents were given whistles and bells to use to call for staff;-Residents who have any type of lung or breathing issue were supposed be given bells; -If residents cannot use the bell or whistle, they can use the call light in the bathroom to ring for staff; -A couple of residents have made comments to LPN A that not having the call light system made them anxious;-The staff have not received any instruction to do more frequent rounding;

During an interview on November 3, 2025 at 1:57 P.M., the Administrator said:-It has been about two weeks the call light system has been malfunctioning;-Residents were given bells and whistles to use in place of the call lights; -Residents with breathing difficulties were supposed to be given bells; -It was his/her expectation that staff answer the bells and whistles just like they would call lights; -The staff have been instructed to do more frequently rounding;-They were not given a specific amount of time to do rounds, but to frequently walk the halls to monitor if residents need help; -The administrator has not received any reports of residents feeling anxious or any complaints of staff not responding to the bells or whistles.

Complaint 2655967

Facility ID: