HomeMy WebLinkAboutCarol Woods 2017-02-16Community Advisory Committee
Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home
Adult Care Home
X Nursing Home
Facility Name: Carol Woods Retirement Community
Census – current/licensed: 17/27
Visit Date and day of the week:
February 16, 2017
Time spent in facility:
2 hours 20 minutes
Arrival time: 10AM
Name of person(s) with whom exit interview was held:
Charlie Duff- Facility Administrator and
Valarie Jarvis – Lead Nursing Engagement Coach
Interview was held: X in person
Committee members present:
Sandra Nash, Susie Deter, Jacqulyn(Jackie) Podger
Number of residents who received personal visits from committee members: 8 Report completed by: Jacqulyn Podger
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) : 10/7/2016
Staffing information clearly posted? NO, the staffing report was
requested and the nurse on duty searched for and presented, but
removed it shortly thereafter.
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? 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
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
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
Facility / Date: Carol Woods / 2/16/17
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?
YES
20. Since most residents are also living within
the greater Carol Woods community, the
general councils are considered to take the
place of the Family Council. We were
previously told there are over 120 resident
committees within Carol Woods.
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?
N/A
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*
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?
1. Staffing Report on the 3rd floor was not
displayed. Nurse searched for, presented and
then removed report.
2. Resident reported the bath sling used on
Thursday Bath Days for her was uncomfortable
and resulted in a dread of her bath and Thursdays.
She indicated the sling hurt her back and added
she had complained several times to staff.
3. Resident reported his TV was not functioning
properly (a work order had been placed). He is
very frustrated with his current situation and the
staff responses to him. “ They go too fast,” he
told us.
4. Kitchen floor in the Bluebird Team area was not
clean, i.e. crumbs littered the floor and a liquid
spill had become sticky. This is the second
observation in this kitchen area.
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?
1. Missing Staffing Report was shared as an area of
concern.
2. Bath Sling discomfort was shared as an area of
concern. Discussed that bath time should be
pleasurable, and whether there are other types of bath
slings or a work around that could be implemented.
3. TV repair and resident feeling rushed were shared as
matters of concern.
4. Issue regarding floor of Bluebird Kitchen was shared
as an area of concern.
5. Recent necessity for implementing emergency
preparedness due to County emergency water shutoff
was discussed.
Carol Woods’ staff took notes regarding all areas of
concern.
1/2015