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HomeMy WebLinkAboutBrookshire 2019-05-15 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: 5/15/2019 Time spent in facility: 1 hr Arrival time: 11:00 am Name of person exit interview was held with: Logan Wilson, Quality Assurance Director Interview was held: X in Person Phone and Josh Stevens, Administrator Committee Members Present: Jerry Ann Gregory, Carol Kelly, Vibeke Talley Report Completed by: Vibeke Talley Number of Residents who received personal visits from committee members: 8 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: X Yes 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* 2. Committee member followed up with resident who at previous visit stated that she would like to get up earlier. Resident said that she is getting up earlier now as she requested. 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? Yes 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. Did you notice unpleasant odors in commonly used areas? Yes* 9. A small area close to the nursing station had an unpleasant odor. 10. Did you see items that could cause harm or be hazardous? No* 10. One door labeled to be locked at all times was not locked, however nothing hazardous was found in the room. 11. Did residents feel their living areas were too noisy? N/A 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? Yes* 14. This was an area of concern at the last visit but response from residents this time is that call bells are responded to in a reasonable time most of the time.Two assisted living residents mentioned call bells were rarely necessary as staff checked in on them often and that staff were visible in the hallways. 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. Activities are varied and being carried out as scheduled even though the facility has been without an Activity Director since early this year due to illness. A new Activity Director is being hired and to start work soon. 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. Comments on food were mostly positive. One person expressed appreciation that alternatives were always available if she did not want an item on the menu. 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? No issues to follow up on. Topics to follow up on: Resident satisfaction with 12 hour shifts. Meet with new Activity Director. Discuss items from “Areas of Concern” Section as well as any changes observed during the visit. In our conversation with the Quality Assurance Director and the Administrator we discussed the items shown above. Brookshire has shifted from 8 hour shifts to 12 hour shifts for CNAs and nurses. Unit managers and the DON continue to work 8 hour shifts. According to Administrator and Quality Assurance Director the change has been well received by both staff and residents. 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.