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HomeMy WebLinkAboutCarol Woods 2016-03-02Community Advisory Committee Quarterly/Annual Visitation Report County: ORANGE Facility Type Family Care Home Adult Care Home X Nursing Home Facility Name: Carol Woods Census: 24 out of 30 Visit Date and day of the week Wednesday, March 2, 2016 Time spent in facility 1 hour15 minutes Arrival time 10:15am Name of person(s) with whom exit interview was held DON Interview was held X in person Committee members present: Number of residents who received personal visits from committee members: 2 (some residents were sleeping, with the majority at activities off the floor) 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 survey posted): 12/18/15 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 6. Carol Woods has a no restraint policy. They develop work-arounds including the use of companions to avoid the need for restraints. 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? No 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 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) Yes Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? N/A 10b. 2 weeks into 3 month renovations to enlarge all bathing areas so that residents can change clothes in the area rather than before entering,changing out thermostats and replacing overhead lighting with LED lights 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? Yes 12a. Where? (Outside / inside / both) Outside 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely & courteous manner? N/A 14a. If no, did you share this with the administrative staff? N/A *** N/A equals not applicable, not asked, not observed Facility / date: Carol Woods/3/2/16 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 20. Families can attend Resident Council. 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? (#16 and 16a pertain only to residents on Medicaid/Special Assistance. NHs $30 per month. ACHs $66 minus medication co-pay and full cost OTC drugs) N/A 17. Are residents asked their preferences about meal & snack choices? (Adult Care Home residents should receive snacks 3X per day. Nursing Home residents should be offered snacks at bedtime.) Yes 17a. Are they given a choice about where they prefer to dine? Yes 17b. Did residents express positive opinions regarding their dining experience (the food provided)? N/A 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 Supervisor-In- Charge. Does the facility have needs that the committee or community could help address? The current DON will begin dealing exclusively with administrative issues, and another DON will be starting the end of March, 2016, to handle clinical issues.