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HomeMy WebLinkAboutCarol Woods 2018-02-23 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 February 23, 2018 - Friday Time spent in facility 1 hour 30 minutes Arrival time 10:00 am Name of person(s) with whom exit interview was held Debbie Evry, AL Coordinator Interview was held ☒ in person Committee members present: Jacqulyn Podger, Molly Stein, Susie Deter Number of residents who received personal visits from committee members 5 Report completed by: Molly Stein 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) : 11/16/17 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 3. Physical Therapy was working with a resident at the time of the visit. 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? N/A 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? N/A 10a. No med carts were visible as no meds were being administered during visit. 10c. Signs were posted on soiled linen doors stating to keep the doors latched. 13. One resident was observed with a call light out of reach after working with Physical Therapy. All other call lights observed were within reach. 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? N/A* 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? N/A 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? No* 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 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* 15. 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. Other residents were aware of activities. 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? 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? The former Director of Nursing has left her position and the nursing home is in the process of hiring a new DON. The nursing home is working on continuity of care by the same staff members for residents, as some residents raised those concerns. Discussion was held of how Carol Woods is addressing issues identified during most recent state survey.