Loading...
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.