F-Tag of the Week
We’re breaking down the Requirements of Participation Phase 2 updates and Phase 3 new guidance.
  • Look for an update each week through October.
  • We’ll focus on an F-tag(s) to help you understand the newest guidance.
F919-Resident Call System
Today we’re focusing on §483.90-Physical Environment –F919-Resident Call System.

What’s new: CMS made changes to the regulation §483.90(g)(1)‐(2) Resident Call System. 
  • A facility must be adequately equipped to allow residents to call for staff assistance through a communication system.
  • The system must relay the call directly to a staff member or to a centralized staff work area from each resident’s bedside, toilet, and bathing facilities.

The guidance says call systems must be accessible to residents:
  • while in their bed or other sleeping accommodations within the resident’s room;
  • at each toilet, bath, or shower; and
  • lying on the floor.

Action for Facilities
  • Develop a process to routinely check that the call system is operational. 
  • Review the process to make sure that during a power loss, the system will work or that there is another means of communicating with the staff. 
  • Examine the functionality of the call system to ensure it is accessible to a resident lying on the floor.

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