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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