HomeMy WebLinkAboutSignature 2017-10-16
Community Advisory Committee
Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home
Adult Care Home
X Nursing Home
Facility Name: Signature
Census – current/licensed: 76/108
Visit date and day of the
week:
October 16, 2017 (Monday)
Time spent in facility:
1 hour
Arrival time: 1 PM
Name of person(s) with whom exit interview was held:
Lee Cole, Administrator
Interview was held: in person
Committee members present:
Jacqulyn (Jackie) Podger, Karen Macklin, Molly Stein, Vibeke Talley
Number of residents who received personal visits from committee members:
13 residents and 2 family members
Report completed by: Vibeke Talley
Resident Rights information is clearly posted? The
hall, where information is normally posted, is being
painted so therefore information is not posted during
visit.
Ombudsman contact information is correct and clearly posted:
The hall, where information is normally posted, is being painted so
therefore information is not posted during visit.
The most recent survey was readily accessible: Yes
(Required for NHs only – record date of most recent
survey posted): 7/17/2017 and 7/18/2017
Staffing information clearly posted? The hall, where information
is normally posted, is being painted so therefore information is not
posted during visit.
Resident Profile Yes
No
N/A
Comments/Other Observations (please
number comments)
1. Do the residents appear neat, clean and odor free? No* 1: One resident and one area of a hall were noted to
have an odor. This was discussed with the
Administrator at exit interview. She stated that the
carpet in that hall had an odor they could not get rid of
but it would be replaced soon as the remodeling
progresses.
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 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? Yes
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
number comments)
8. Did residents describe their living environment as
homelike?
Yes
9: See comment under 1.
13: One resident unable to reach call bell
stated that she never needed to use the call
bell as staff would stop by to ask if she
needed anything.
9. Did you notice unpleasant odors? Yes*
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?
N/A
12. Does the facility accommodate smokers? Note: By
regulation smoking is only permitted outside.
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
*** N/A equals not applicable, not asked, not observed
Facility / Date: Signature 10/16/2017
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
15a: The hall, where the monthly activity
calendar used to be posted, is being painted so
information is not posted during visit. The
Activity Director shared that a monthly
activity calendar is not posted as she prefers to
use a weekly calendar so changes in the
scheduled activities can be made easily during
the month. The weekly calendar is printed and
distributed to each resident. During our visit,
some residents had the calendars for the week
in their hands. The Activity Director also
shared that the residents are encouraged to
provide feedback about the activities.
17: Most residents were aware of the food
choices they have. One resident stated that no
alternative was offered when meal was
rejected. This was brought up to the
Administrator and she explained that there are
alternative meal options and that these are
offered routinely when a resident requests
another meal.
17a: Residents who can feed themselves may
eat in one of two dining rooms or may eat in
their rooms. However, residents who need
assistance eating, eat together in a dining
room.
17b: Most residents stated that food is good.
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 and
Family Council?
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?
At the next visit note whether the Director of
Nursing and the Administrator positions are filled
by interim staff or if Signature has found
permanent staff.
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?
Exit interview was held with the Administrator. Discussed
items under 1, 9 and 17 as stated above.
The Administrator stated that the remodeling is going
slowly as work crews were sent to Florida to work on a
facility damaged by the hurricane and they just got back to
this facility.
We noted that there is a new interim Director of Nursing and
the Administrator stated that they are interviewing for a
Director of Nursing.
In addition the Administrator stated that she will be leaving
on 11/10/2017 and there will be an interim Administrator
put in place by Signature.