HomeMy WebLinkAboutBrookshire 2017-02-22
Community Advisory Committee
Quarterly/Annual Visitation Report
County Orange Facility Type
Nursing Home
Facility Name: Brookshire
Census – current/licensed: 67/80
Visit Date and day of the week
2/22/17 Wednesday
Time spent in facility
One hour
Arrival time 10:15 a.m.
Name of person(s) with whom exit interview was held
Betty Stevens, Executive Director
Interview was held x in person
Committee members present: Jerry Schreiber Jerry Gregory and Vibeke Talley
Number of residents who received personal visits from committee members 15 Report completed by: Jerry Schreiber
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 survey
posted) : 10/27/2016
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? Yes
4.Were residents interacting with staff, other residents & visitors? yes
5.Did staff respond to or interact with residents who had difficulty communi-
cating or making their needs known verbally? NA
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 n/a
Resident Living Accommodations Yes No
N/A
Comments/Other Observations (please
number comments)
8. Did residents describe their living environment as homelike? Yes 10c: One janitorial closet was unlocked.
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? 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: Brookshire 2/22/2017
Resident Services Yes No
N/A
Comments/Other Observations (please
number comments)
15. Were residents asked their preferences or opinionsabout the activities
planned for them at the facility?
yes
15a. Was a current activity calendar posted in the facility? yes
15b. Were activities scheduled to occur at the time of your visit
actuallyoccurring?
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 con-
venience?
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 din-
ing 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, volun-
teer 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?
Janitorial closet unlocked.
Discuss Items from “Areas of Concern” Section as well as
any changes observed during visit. Give summary of the
visit with Administrator or SIC. Does the facility have
needs that the committee or community could help address?
The issue with the unlocked janitorial closet was discussed
at exit interview.
Discussed the updating/remodeling of some rooms.
1/2015