HomeMy WebLinkAboutSignature 2016-07-26
Community Advisory Committee
Quarterly/Annual Visitation Report
County: Orange Facility Type
Nursing Home
Facility Name: Signature Healthcare
Census – current/licensed: 90/108
Visit Date and day of the week
7/26/2016, Tuesday
Time spent in facility
1 hour
Arrival time 11 AM
Name of person(s) with whom exit interview was held
Andrea Miller, ADON
Interview was held in person
Committee members present: Jerry Gregory, Vibeke Talley
Number of residents who received personal visits from committee members 14 Report completed by:
Vibeke Talley
Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted:
Yes
The most recent survey was readily accessible
(Required for NHs only – record date of most recent
survey posted) : 5/17-20/2016
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: Facility continues to have one resident who has
hands restrained to prevent removal of
tracheostomy tube 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
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
policies?
Note: Do not ask about confidential information without
consent
Resident Living Accommodations Yes,
No
N/A
Comments/Other Observations (please
number comments)
8. Did residents describe their living environment as homelike? Yes
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 equals not applicable, not asked, not observed
Resident Services 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. 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
Signature 7/26/2016
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?
The facility has placed an “Expression box” in the lobby for
residents and visitors to voice their opinions.
They have implemented that staff get together 6 times every
24 hours to share information about residents. This is a
huddle that should take 5 to 15 min each time. They
believe this will improve communication between
shifts and thus resident care.
1/2015