Loading...
HomeMy WebLinkAboutBrookshire 2018-12-05 Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Family Care Home X Nursing Home Adult Care Home Combination Home Facility Name/Address: Brookshire Senior Living 300 Meadowland Dr Hillsborough, NC 27278 Visit Date: 12/5 /2018 Time spent in facility: 1.5 hrs Arrival time: 12:50 am X pm Name of person exit interview was held with: Interview was held: X in Person Phone X Administrator - Josh Stevens Committee Members Present: Jerry Ann Gregory, Carol Kelly, Karen Macklin Report Completed by: Karen Macklin Number of Residents who received personal visits from committee members: 15 Resident Rights Information is clearly visable. X Yes No Ombudsman Contact Info is correct and clearly posted: X Yes No The most recent survey was readily accessible: X Yes No (Required for Nursing Homes Only) Staffing information clearly posted: Yes X No Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat, clean and odor free? Yes 2. Did residents say they receive assistance with personal care activities? Ex. 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? Yes 7. We did talk about restraints. One resident wanted to have access to side rails around the bed to assist with moving. Brookdale does have side rails, but they are not used unless the resident can show that s/he can move them up and down. Most residents cannot do that. If a resident does have side rails, then s/he must be evaluated every 3 months to be sure that they are still safe. 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? N/A* Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? Yes 9. There was an odor at the end of the hall coming into the building. 9. Did you notice unpleasant odors in commonly used areas? Yes* 10. Did you see items that could cause harm or be hazardous? No 11. Did residents feel their living areas were too noisy? No 12. Does the facility accommodate smokers? Where? Outside only Inside only Both Inside/Outside No 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely & courteous manner? If no, did you share this with the administrative staff? No* 14. Some residents stated that response to call bells was quick. One resident did complain about slow response, especially at night. We observed one staff member who was curt with a resident when responding to a call bell. This was discussed with the Administrator. Resident Services Yes/No/NA Comments/Other Observations 15. Were residents asked their preferences or opinions about the activities planned for them at the facility? Yes 15. During our visit, one resident was doing a puzzle and others were watching a large screen tv in the activity room. The activities director was ill, but the assistant was in and out of the room, she had done a morning activity and was going to do an afternoon activity as well. 16. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? Can residents access their monthly needs funds at their convenience? Yes Yes 17. Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? Yes Yes 17. One resident liked the alternative food choices. The Administrator told us that they begun an “always available” menu which includes soups and sandwiches. 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 Resident’s Council? Family Council? Yes No Areas of Concern Yes/No/NA Exit Summary Are there resident issues or topics that need follow-up or review at a later time or during the next visit? Call bell response time. Staffing information No Discuss items from “Areas of Concern” Section as well as any changes observed during the visit. In our conversation with the Executive Director, we discussed the items shown above. Additionally we talked about: (1) a general shortage of CNAs. They had a fair amount of turnover in the spring, but staffing has been more stable since then. (2) their current director of nursing has been with them for a number of months. The Administrator believes that she is the best DON that they have ever had. They also have a new medical director, Joel Blass, MD, who the Administrator also likes very much. He is in the facility about once a week and his NP is in the facility 4 days/week, (3) the residents’ rooms were just decorated and looked very festive, (4) some staff members go above and beyond; for example, bringing in baked goods for residents; (5) one resident noted how difficult it was for four people to share one bathroom and it meant some had to get up early or wait a long time for a shower at night; and (6) the staffing information was available, but not for the day of our visit. This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form. Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.