HomeMy WebLinkAboutCarol Woods 2017-08-08Community 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: 15/30
Visit Date and day of the week
Tuesday, August 8, 2017
Time spent in facility
1 hours 15 minutes
Arrival time 10:00 am
Name of person(s) with whom exit interview was held:
Valarie Jarvis, Lead Engagement Coach & Charlie Duff,
Administrator
Interview was held X in person
Committee members present: Jacqulyn Podger, Jerry Schreiber, Susie Deter
Number of residents who received personal visits from committee members 5
residents and 1 family member
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) : October 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 6. Carol Woods is a restraint free facility.
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?
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? N/A*
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 & 10b. One bathroom had a broken toilet with
rags stuffed into the toilet. The door to the
bathroom was ajar, and a sewage odor permeated
the pod.
10a. No med carts visible as it was not medication
administration time.
9. Did you notice unpleasant odors? Yes*
10. Did you see items that could cause harm or be hazardous? No
10a. Were unattended med carts locked? N/A*
10b. Were bathrooms clean, odor-free and free from hazards? No*
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
Yes
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
*** N/A equals not applicable, not asked, not observed
Facility / Date: Carol Woods/ 8/8/17
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 17b. One resident stated that food was “too
plain”. Note: Carol Woods offers an extensive
variety of options for all meals.
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.
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?
No*
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?
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?
- Clarification from previous report: Administrator stated
that soiled linen/trash doors are supposed to be shut and
latched, but are not required to be locked. One door was
standing slightly ajar.
- 2 pets were observed on the floor. Carol Woods
recognizes the therapeutic effect of pets and offers a pet
walking service for residents who are unable to walk their
pets.
- A family member, whose spouse has been in residence for
a year, had high praise for the facility.
- Administrator and Lead Engagement Coach stated they
would immediately look into the pod with the broken toilet
and the sewage smell and the dining room that appeared to
be in the midst of ongoing maintenance/painting. Neither
seemed aware of these issues.
1/2015