HomeMy WebLinkAboutSignature 2017-06-15
Community Advisory Committee
Quarterly/Annual Visitation Report
County Orange Facility Type Family
Care Home
Adult Care Home
X Nursing Home
Facility Name: Signature Healthcare
Census – current/licensed: 82/108 (previous days num-
bers were used)
Visit Date and day of the week
Thursday, 6/15/17
Time spent in facility: 1.5 hours Arrival time: 8AM
Name of person(s) with whom exit interview was held
Lee W. Cole, Administrator
Interview was held in person
Committee members present: Carol Kelly, Jackie Podger, Molly Stein
Number of residents who received personal visits from committee members: 12 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 sur-
vey posted) : April 26th, 2017
Staffing information clearly posted? No
Resident Profile Yes
No
N/A
Comments/Other Observations (please num-
ber comments)
1. Do the residents appear neat, clean and odor free? Yes
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
participate 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
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
N/A
Resident Living Accommodations Yes
No
N/A
Comments/Other Observations (please num-
ber comments)
8. Did residents describe their living environment as homelike? N/A 14. One resident reported that the call bell was not
functioning. Upon testing, it did not work.
Call bells in several rooms were not working in several
of the rooms. Administrator was advised. 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? N/A
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
N/A
13. Were residents able to reach their call bells with ease? Yes
14. Did staff answer call bells in a timely & courteous manner? No*
14a If no, did you share this with the administrative staff? Yes
*** N/A equals not applicable, not asked, not observed
Facility / Date:
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 15b. The first activity of the day (Workout) was
scheduled to begin at 10:00 and we were there ear-
lier.
17a. Residents who require help with eating are fed
in a designated dining room.
17b. Additional morning coffee was not provided
despite requests from resident.
19. Some evidence was present but residents
reported not enough.
-Resident cried out to advisory committee
member asking for help in removing tray table
from her knees. Resident indicated the CNA
had brought her breakfast, pinning her legs un-
der the tray table. Advisory committee mem-
ber moved the tray table up and away from the
resident allowing her to move her legs. Resi-
dent was also not seated in a position that
would not allow an open airway thereby risk-
ing choking. Resident indicated her call but-
ton had not been working and that she had
tried using it minutes before she was helped.
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?
No*
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?
-Call lights were reportedly not functioning in some of the
rooms due to what was thought to be construction going
on.
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?
Administrator was notified of the incident with the resident
tray table and that the call light was not
working (after testing) and hence no response or help was
provided by the staff. Administrator stated that she would
look into it and get it fixed that day. It was also reported that
call bell problems were mentioned by other residents.
.
1/2015