HomeMy WebLinkAboutBrookshire 2016-02-02Community Advisory Committee
Quarterly/Annual Visitation Report
County Orange Facility Type
Family Care Home
Adult Care Home
Nursing Home
Facility Name: Brookshire
Census – current/licensed: 78/80
Visit Date and day of the week
02/02/2016 Tuesday
Time spent in facility
1 hours 05 minutes
Arrival time 10:00 AM
Name of person(s) with whom exit interview was held
Director of Nursing
Interview was held in person
Committee members present:
Number of residents who received personal visits from committee members 8 Report completed by:
Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes
The most recent survey was readily accessible No
(Required for NHs only – record date of most recent
survey posted) : 03/13/2015 (see exit interview).
Staffing information clearly posted? Yes
Resident Profile Yes
No
N/A
Comments/Other Observations (please
number comments)
1. Do the residents appear neat, clean and odor free? Yes
2.Did residents say they receive assistance with personal care
activities? (i.e. brushing their teeth, combing their hair, inserting
dentures or cleaning their eyeglasses)
Yes
3. Did you see or hear residents being encouraged to participate
in their care by staff members? N/A
4.Were residents interacting with staff, other residents & visitors? Yes
5.Did staff respond to or interact with residents who had
difficulty communicating or making their needs known verbally? N/A
5a Did staff members wear nametags that are easily read by
residents and visitors? Yes
6. Did you observe restraints in use? No
7. If so, did you ask staff about the facility’s restraint policies?
Note: Do not ask about confidential information without consent
Resident Living Accommodations Yes
No
N/A
Comments/Other Observations (please
number comments)
8. Did residents describe their living environment as homelike? Yes 10c: The door to the "Hazardous Waste" room
was found unlocked.
14: Question is answered both yes and no for the
following reason: Residents responded that call
bells are answered promptly on day shift during
the week, however on week-ends and at night it
may take a long time (30 min or more) to get
responses to call bells.
9. Did you notice unpleasant odors? No
10. Did you see items that could cause harm or be hazardous? No
10a. Were unattended med carts locked? Yes
10b. Were bathrooms clean, odor-free and free from hazards? Yes
10c. Were rooms containing hazardous materials locked? No*
11. Did residents feel their living areas were kept at a reasonable
noise level?
Yes
12. Does the facility accommodate smokers?
Note: By regulation smoking is only permitted outside of the
Building
No
13. Were residents able to reach their call bells with ease? Yes
14. Did staff answer call bells in a timely & courteous manner? Y/N*
14a If no, did you share this with the administrative staff? Yes
*** N/A equals not applicable, not asked, not observed
Facility / Date: Brookshire 02/02/2016
Resident Services Yes
No
N/A
Comments/Other Observations (please
number comments)
15. Were residents asked their preferences or opinions
about the activities planned for them at the facility?
N/A
15a. Was a current activity calendar posted in the facility? Yes
15b. Were activities scheduled to occur at the time of your
visit actually occurring?
Yes
16. Do residents have the opportunity to purchase personal
items of their choice using their monthly needs funds?
N/A
16a.Can residents access their monthly needs funds at their
convenience?
N/A
17. Are residents asked their preferences about meal &
snack choices?
Yes
17a. Are they given a choice about where they prefer to dine? Yes
17b. Did residents express positive opinions regarding their
dining experience?
Yes
17c. Is fresh ice water available and provided to residents? Yes
18. Do residents have privacy in making and receiving
phone calls?
Yes
19. Is there evidence of community involvement from other
Civic, volunteer or religious groups?
Yes
20. Does the facility have a functioning: Resident’s Council?
Family Council?
Yes
No
Areas of Concern Exit Summary
Are there resident issues or topics that need follow-up or
review at a later time or during the next visit?
Response time to call bells at night and on week-ends.
Discuss items from “Areas of Concern” Section as well as
any changes observed during the visit. Give summary of
visit with Administrator or SIC. Does the facility have
needs that the committee or community could help address?
Administrator was on a conference call and not able to
attend exit interview so we met with DON.
Discussed resident feed-back about slow response time to
call bells on week-ends and at night. She responded that she
was aware it had been a problem in the past but recently she
added more CNA staff at night and now has 6 CNAs at
night. She said this change was made in December 2015.
Also informed DON that the door to the "Hazardous Waste"
room was found unlocked and she was surprised to hear
that. She explained that the door is checked every AM for
compliance.
Discussed survey and DON informed us that they had the
recertification survey in January with exit date of
01/07/2016 but they have not received final copy to post.
She reported that they were cited for a broken thermometer
in the kitchen refrigerator and this has been taken care of..
1/2015