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HomeMy WebLinkAboutBrookshire 2016-05-24 Community Advisory Committee Quarterly/Annual Visitation Report County Orange Facility Type Family Care Home Adult Care Home X Nursing Home Facility Name:Brookshire Census – current/licensed: 68/80 Visit Date and day of the week May 24, 2016 Time spent in facility One hours fifteen minutes Arrival time 10:00 a.m. Name of person(s) with whom exit interview was held Activities director : Interview was held x in person Committee members present: Number of residents who received personal visits from committee members 13 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 Yes (Required for NHs only – record date of most recent sur- vey posted) : 3/17/2016 Life Safety Survey. Staffing information clearly posted? Did not observe Resident Profile Yes No N/A Comments/Other Observations (please num- ber comments) 1. Do the residents appear neat, clean and odor free? Yes* 1. Some residents still in night clothing and had not had their baths at 10:00 AM. 2.Did residents say they receive assistance with personal care ac- tivities? (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 par- ticipate in their care by staff members? Yes 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 pol- icies? Note: Do not ask about confidential information without consent N/A Resident Living Accommodations Yes No N/A Comments/Other Observations (please num- ber comments) 8. Did residents describe their living environment as homelike? No* 8. Residents generally pleased with their envi- ronment 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? Yes 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? Yes 14a If no, did you share this with the administrative staff? N/A *** N/A equals not applicable, not asked, not observed Facility / Date: 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? No* 15. Discussed with Activity Director during exit interview. 16 and 16a. The facility does not admit residents on Medicaid but if a resident is admitted as private pay and later has to go on Medicaid the resident will be allowed to remain in facility. 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? Yes* 16a.Can residents access their monthly needs funds at their convenience? Yes* 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? No 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? The Activity Director stated that the Resident’s Council has input on activities and she gets feedback from residents fol- lowing activities. 1/2015