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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