HomeMy WebLinkAboutCarol Woods 2017-04-20
Community Advisory Committee
Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home
Adult Care Home
X Nursing Home
Facility Name: Carol Woods
Census – current/licensed: 17/30
Visit Date and day of the week:
April 20, 2017
Time spent in facility:
1 hours 15 minutes
Arrival time: 10AM
Name of person(s) with whom exit interview was held :
Debbie Every– Nursing Engagement Coach
Interview was held: X in person
Committee members present:
Sandra Nash, Jacqulyn (Jackie) Podger, Susie Deter
Number of residents who received personal visits from committee members: 4 Report completed by: Susie Deter
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? Yes
Resident Profile Yes
No
N/A
Comments/Other Observations (please
number comments)
1. Do the residents appear neat, clean and odor free? Yes 5. Resident who is confused & therefore has
difficulty interacting was placed in center of pod,
and all staff stopped and interacted with resident
as they passed.
6. Carol Woods does not use restraints. Work
around are developed in the resident’s care plan
to accommodate these issues.
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 10c. Rooms for soiled linen/trash had signs
posted stating that, per state regulations, the doors
needed to be closed and latched. In 2 of the
treatment pods the doors to these rooms were
closed but not locked.
14. Call bell rang for 5 minutes. While the bed
alarm went off in error, the CNA assigned to pod
was in another room bathing a resident and could
not hear the bell. Had this been an actual incident,
such a slow response could have had serious
consequences.
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? No*
14a If no, did you share this with the administrative staff? Yes
*** N/A equals not applicable, not asked, not observed
Facility / Date: Carol Woods / 4/20/17
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?
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?
Unlocked soiled linen/trash doors and slow bed alarm
response were discussed with Nursing Engagement Coach.
She informed us that call bell alarms are routed to the
phones of CNAs, RNs and Nursing Engagement Coaches,
but chair and bed alarms are not. They are two different
systems that cannot be integrated. Carol Woods’ IT staff are
exploring upgrading the system. She also told us that in the
near future both bed and chair alarms cannot be used unless
they are part of a resident’s care plan.
While not required, Carol Woods posts pictures of the on-
duty CNA at the entrance to each of their four care pods.
The pictures posted in two of the pods did not match the
CNA on duty.