Carillon 2016-09-13 - Laserfiche WebLink

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Community Advisory Committee Quarterly/Annual Visitation Report County Orange Facility Type Family Care Home Adult Care Home Nursing Home Facility Name: Carillon Census – current/licensed: 63/96 Visit Date and day of the week Tuesday Sept 13, 2016 Time spent in facility 1 hours 40 minutes Arrival time 1:00pm Name of person(s) with whom exit interview was held Tonya, Business Manager & Laurie Sawyer, Exec. Director Interview was held in person Committee members present: Gloria Brown Suzanne Haff Deborah Stewart Number of residents who received personal visits from committee members 6 Report completed by: Deborah Stewart Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes The most recent survey was readily accessible N/A (Required for NHs only – record date of most recent survey posted) : Staffing information clearly posted? Yes Resident Profile Yes No N/A Comments/Other Observations (please number comments) 1. Do the residents appear neat, clean and odor free? Yes 1. Residents are well-groomed and social. Their rooms are well-kept as well. 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 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 5a Did staff members wear nametags that are easily read by residents and visitors? No 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 8 & 9. Facility remains clean and tidy. 14. Residents primarily walk to the staff offices to make verbal reports about their needs. 9. Did you notice unpleasant odors? No 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? Yes 12. Does the facility accommodate smokers? Note: By regulation smoking is only permitted outside of the Building N/A 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely & courteous manner? N/A 14a If no, did you share this with the administrative staff? *** N/A equals not applicable, not asked, not observed