HomeMy WebLinkAboutCarol Woods 2017-10-31
Community Advisory Committee
Quarterly/Annual Visitation Report
County: Orange Facility Type
Family Care Home
Adult Care Home
☒ Nursing Home
Facility Name: Carol Woods
Census – current/licensed: 17/30
Visit Date and day of the week
October 31, 2017 - Tuesday
Time spent in facility
1 hours 30 minutes
Arrival time 8:30 am
Name of person(s) with whom exit interview was held
Valarie Jarvis, Lead Engagement Coach & Charlie Duff, Adminis-
trator
Interview was held ☒ in person
Committee members present: Jacqulyn Podger, Molly Stein, Peggy Lanier, Susie Deter
Number of residents who received personal visits from committee members
4 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 NO
(Required for NHs only – record date of most recent sur-
vey posted) : 10/7/16 (state has not scheduled next one)
Staffing information clearly posted? Yes
Resident Profile Yes
No
N/A
Comments/Other Observations (please num-
ber 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 ac-
tivities? (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 par-
ticipate
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 poli-
cies?
Note: Do not ask about confidential information without
consent
N/A
Resident Living Accommodations Yes
No
N/A
Comments/Other Observations (please num-
ber comments)
8. Did residents describe their living environment as homelike? Yes
11. One resident felt she is woken up too early,
but it was unclear whether this is caused by noise
or med administration.
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
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/ 10/31/17
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 15a. One resident stated she was not aware of
activities taking place, but it was unclear to
committee members whether the resident was
confused around this issue.
20. Since most residents are also living within
the greater Carol Woods community, the gen-
eral 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?
N/A
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*
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?
Administrators did not know where book containing current
state survey was, but they were looking for it when we left.
Activities coordinator will visit with resident who stated she
was not aware of activities.
Staff will consult with resident who felt day started too early
to see if the situation can be remediated either by a sound
machine (if awakened by noise) or adjustment in med ad-
ministration schedule if that is the problem.
Family member stated that not only did staff perform their
duties well, but they also seemed to take pleasure in doing
so.
Currently Carol Woods is placing residents in 3 pods instead
of four due to lower levels of staffing availability.
RNs are difficult to find due to lower pay than hospitals.
Staffing absences are filled by the same agency, preferably
with those who have worked at Carol Woods.