HomeMy WebLinkAboutSignature 2016-10-25
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
10/25/2016, Tuesday
Time spent in facility
1 hour
Arrival time 10 AM
Name of person(s) with whom exit interview was held:
Turner Prickett, CEO
Interview was held in person
Committee members present: Glenda Floyd, Vibeke Talley
Number of residents who received personal visits from committee members
6
Report completed by: Vibeke Tal-
ley
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 re-
cent survey posted) : 5/17-20/2016
Staffing information clearly posted? Yes
Resident Profile Yes No
N/A
Comments/Other Observa-
tions (please number
comments)
1. Do the residents appear neat, clean and odor free? Ye
s
2.Did residents say they receive assistance with personal care activi-
ties? (i.e. brushing their teeth, combing their hair, inserting den-
tures or cleaning their eyeglasses)
Ye
s
3. Did you see or hear residents being encouraged to participate
in their care by staff members?
Ye
s
4.Were residents interacting with staff, other residents & visitors? Ye
s
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?
Ye
s
6. Did you observe restraints in use? No
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 Observa-
tions (please number
comments)
8. Did residents describe their living environment as homelike? Ye
s
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? Ye
s
10b. Were bathrooms clean, odor-free and free from hazards? Ye
s
10c. Were rooms containing hazardous materials locked? Ye
s
11. Did residents feel their living areas were kept at a reasonable
noise level?
Ye
s
12. Does the facility accommodate smokers? Note: By regulation
smoking is only permitted outside of the Building
Ye
s
13. Were residents able to reach their call bells with ease? Ye
s
14. Did staff answer call bells in a timely & courteous manner? Ye
s
14a If no, did you share this with the administrative staff?
*** N/A equals not applicable, not asked, not observed
Signature 10/25/2016
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?
Facility continues the staff huddle 6 times every 24
hours and administrator reports that it is working
out well. They have implemented a “topic of the
day” which staff can use to build rapport with res-
idents and learn about each resident.
Facility is taking an active part in getting residents to
vote.
Remodeling inside is starting mid November.
1/2015