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.