Run Call Light Response Time Audit — Free

Audit Details

Unit or care area audited

Shift audited

Audit date and time

Number of call light events reviewed critical (required)

Audit method documented

Confirm whether the audit used direct observation, system logs, resident report, or a combination of methods.

Response Time Measurement

Average response time critical (required)

Longest observed response time critical (required)

Percentage of responses within facility target critical (required)

Facility target response time met critical (required)

Compare measured performance against the facility's established call light response standard.

Yes No N/A

Delayed responses documented with timestamps

For any response exceeding the facility target, record the call time, response time, and reason if known.

Yes No N/A

Coverage by Shift and Unit

Response times consistent across units

Response times consistent across shifts

Peak delay periods identified

Identify whether delays cluster during medication pass, meal service, admissions, or other high-demand periods.

Note (optional)

Staffing adequacy concerns noted critical (required)

Document whether observed delays suggest inadequate staffing, poor assignment coverage, or workflow bottlenecks.

Yes No N/A

Resident Safety and Escalation

Any resident safety risk identified from delayed response critical (required)

Yes No N/A

High-risk call types responded to promptly critical (required)

Verify that pain, toileting, fall-risk, respiratory distress, and other urgent requests were prioritized appropriately.

Yes No N/A

Escalation used for delayed or unanswered calls critical (required)

Confirm that delayed or unanswered call lights were escalated to a charge nurse, supervisor, or designated leader per policy.

Yes No N/A

Resident complaints or adverse events linked to call light delay critical (required)

Document any complaints, falls, toileting accidents, pain escalation, or other adverse events associated with delayed response.

Yes No N/A

Documentation and Corrective Action

Audit findings documented clearly

Yes No N/A

Deficiencies assigned corrective actions critical (required)

Document the action plan, responsible person, and due date for any non-conformance or critical item failure.

Yes No N/A

Follow-up review scheduled

Inspector comments

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Run: Call Light Response Time Audit

Audit Details

Response Time Measurement

Coverage by Shift and Unit

Resident Safety and Escalation

Documentation and Corrective Action

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