HomeMy WebLinkAboutAL-The Stratford 2024-12-19 Com unity Advisory Committee Quarterly/Annual Visitation Report
County: Facility Type: Facility Name/Address:
Orange ❑Family Care Home ❑Nursing Home The Stratford, 405 Smith Level Rd., CH 27516
❑✓ Adult Care Home ❑
Visit Date:�,n;m*,,/12"9/24 Time spent in facility: hr 35 min Arrival time: 3 :45 ❑ am ❑✓ pm
huu_,,h
Name of person exit interview was held with: Interview was held: ❑✓ in Person ❑ Phone
0 Admin. ❑ SIC(Supervisor in Charge) ❑ Other Staff Rep. Name/Title Danita Thompson, Dirrector
Committee Members Present: Report Completed by:
Stephanie Boswell, Marylou Gelblum Marylou Gelblum
Number of Residents who received personal visits from committee members: 10
Resident Rights Information is clearly visible: 0 Yes ❑✓ No Ombudsman Contact Info is correct and clearly posted: 0 Yes ❑ No
The most recent survey was readily accessible: ❑Yes❑✓ No Staffing information clearly posted: ❑Yes ❑ No
(Required for Nursing Homes Only)
Resident Profile I 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 N/A
dentures or cleaning their eyeglasses?
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 N/A
communicating or making their needs known verbally?
6. Did you observe restraints in use? No O
7. If so, did you ask staff about the facility's restraintpolicies? N/A
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? Yes O Residents rooms we visited were
9. Did you notice unpleasant odors in commonly used areas? No O personalized and residents appeared
10. Did you see items that could cause harm or be hazardous? No O comfortable.
11. Did residents feel their living areas were too noisy? No O
12. Does the facility accommodate smokers?
Yes O
Where? 0 Outside only❑ Inside only❑ Both Inside/Outside
13. Were residents able to reach their call bells with ease? N/A O
14. Did staff answer call bells in a timely&courteous manner? N/A O
If no, did you share this with the administrative staff?
Resident '/NA Comments/Other Observations
15. Were residents asked their preferences or opinions about the Yes O There is a new Activities Director who
activities planned for them at the facility? is polling residents about their
16. Do residents have the opportunity to purchase personal items of interests. We did see card playing, tv
their choice using their monthly needs funds? Yes O watching and more games and
Can residents access their monthly needs funds at their
puzzles available.
convenience?
17. Are residents asked their preferences about meal/snack choices? Residents are given a choice of
Are the given a choice about where the refer to dine? Yes O snacks.
18. Do residents have privacy in making and receiving phone calls? N/A O There is a minister that visits every
19. Is there evidence of community involvement from other civic, Saturday and offers a service that is
volunteer or religious groups? Yes O well attended.
20. Does the facility have a Resident's Council? Yes O
Family Council?
Areas of •
Are there resident issues or topics that need follow-up or review at a later Discuss items from "Areas of Concern"Section
time or during the next visit? NO O as well as any changes observed during the 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.
Revised 1/21/2020