HomeMy WebLinkAboutBrookshire 2018-04-24Community Advisory Committee Quarterly/Annual Visitation Report
County: ORANGE Facility Type:
Family Care Home x Nursing Home
Adult Care Home Combination Home
Facility Name/Address:
BROOKSHIRE NURSING CENTER, HILLSBOROUGH
Visit Date: 4 /24 /18 Time spent in facility: 1 hr 45 min Arrival time: 1:00 p.m.
Name of person exit interview was held with Interview was held in person
Logan Wilson Administrator in Training and Linda Liner, Acting Nursing Director
Committee Members Present: Jerry Gregory and Carol Kelly Report Completed by: Jerry Gregory and
Carol Kelly
Number of Residents who received personal visits from committee members: Nine
Resident Rights Information is clearly visable: xYes Ombudsman Contact Info is correct and clearly posted: x Yes
The most recent survey was readily accessible: x Yes
(Required for Nursing Homes Only) November 2017
Staffing information clearly posted: x Yes
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free? yes
2. Did residents say they receive assistance with personal care
activities? Ex. 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
communicating or making their needs known verbally? yes
6. Did you observe restraints in use? no
7. If so, did you ask staff about the facility’s restraint policies? n/a
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? yes
9. Did you notice unpleasant odors in commonly used areas? no
10. Did you see items that could cause harm or be hazardous? no
11. Did residents feel their living areas were too noisy? no
12. Does the facility accommodate smokers?
Where? Outside only Inside only Both Inside/Outside
no
13. Were residents able to reach their call bells with ease? yes
14. Did staff answer call bells in a timely & courteous manner?
If no, did you share this with the administrative staff?
no/yes
Some complained they were not answered
promptly, especially on weekends.
Resident Services Yes/No/NA Comments/Other Observations
15. Were residents asked their preferences or opinions about the
activities planned for them at the facility?
yes Offerings are posted on a large bulletin board
and on individual sheets. Several residents
made positive comments about activities ranging
from music programs and crafts to bird watching.
16. Do residents have the opportunity to purchase personal items of
their choice using their monthly needs funds?
Can residents access their monthly needs funds at their
convenience?
yes
17. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
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 Resident’s Council?
Family Council?
yes
no
Areas of Concern Yes/No/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later
time or during the next visit?
- Responding to call bells in a timely fashion
- Consideration of securing chairs with arms, as some people use
the arm rest to get in and out of chairs.
yes Discuss items from “Areas of Concern” Section
as well as any changes observed during the visit
Acknowledged staffing shortage and difficult
hiring CNAs. In process of hiring a director of
nursing.
Facility has a nurse liaison who visits residents
and families prior to admission and following
discharge.
Evidence of a strong activities program was
present.
This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.
Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.