HomeMy WebLinkAboutSignature 2016-06-02
Community Advisory Committee
Quarterly/Annual Visitation Report
County Orange Facility Type
Family Care Home
Adult Care Home
Nursing Home X
Facility Name: Signature Healthcare
Census – current/licensed: 104/108
Visit Date and day of the week
Thursday, 6/2/2016
Time spent in facility
1 hour
Arrival time 1PM
Name of person(s) with whom exit interview was held: Interview was held in person
Committee members present:
Number of residents who received personal visits from committee members
12
Report completed by:
Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted:
Telephone number correct but name is not. Information clearly
posted.
The most recent survey was readily accessible
(Required for NHs only – record date of most recent
survey posted) : July 7-9 2015. See note under exit in-
terview.
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 and 7: Facility continues to have one resident who
has hands restrained to prevent the resident from re-
moving tracheostomy tube. 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?
N/A
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
5a Did staff members wear nametags that are easily read
by
residents and visitors?
Yes
6. Did you observe restraints in use? Yes*
7. If so, did you ask staff about the facility’s restraint pol-
icies? Yes*
Note: Do not ask about confidential information without
consent
Resident Living Accommodations Yes
No
N/A
Comments/Other Observations (please num-
ber comments)
8. Did residents describe their living environment as homelike? Yes
14: 9 of the 12 residents who received visits from us
stated that call bells were answered within a reasona-
ble time. 3 residents were unhappy with the response
time for call bells.
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/No
*
14a If no, did you share this with the administrative staff? Yes
*** N/A equals not applicable, not asked, not observed
Facility / Date: Signature Healthcare
/06/02/2016
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 16a: The business office is open Monday through
Friday from 10 AM to 4 PM and residents are ex-
pected to get their funds during those hours.
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?
Yes
16a.Can residents access their monthly needs funds at
their
convenience?
Yes*
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
Yes
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?
No
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?
Discussed the call bell issue voiced by the 3 residents. DON
very responsive and will follow up.
DON informed us that they just had their recertification sur-
vey but they have not received the letter for posting and fol-
low up.
Facility has a new food system which has resulted in posi-
tive feedback from residents.
DON reported that they are now using “hand-in-hand” train-
ing of staff for improved care and retention of staff.
1/2015