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Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County ORANGE Facility Type <br />Family Care Home <br />X Adult Care Home <br /> <br />Facility Name: Carol Woods <br /> <br />Census: Building 5: 28 of 35; <br />Buildings 6 & 7; 22 of 24 <br />Visit Date and day of the week <br />February 11, 2016 Thursday <br />Time spent in facility <br />1 hour 30 minutes <br />Arrival time 10:00 a. m. <br />Exit interview was held with Nursing Director, Carol Woods Assisted Living Interview was held in person: Yes <br />Committee members present: 3 <br /> <br /> Number of residents who received personal visits from committee members 12 <br />Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly <br />posted: Yes <br />The most recent survey was readily accessible N/A <br />(Required for NHs only – record date of most recent survey <br />posted) : N/A <br />Staffing information clearly posted? Yes <br /> <br />Resident Profile Yes <br />No <br />N/A <br />Comments/Other Observations <br />(please number comments) <br /> 1. Do the residents appear neat, clean and odor free? Yes 2. All residents interviewed said that <br />the care they receive is very good. <br />One resident said she has noticed <br />turnover among direct care staff, <br />noting that Carol Woods may move <br />quickly to let a direct care staff <br />member go if residents complain about <br />the care they get from that staff <br />person. <br /> <br />3. & 4. In the 500 building, several <br />residents were observed getting ready <br />to play bridge. In the 600 building, <br />one resident was in a lounge area <br />watching TV. No other residents were <br />observed in the common area. <br />2. Did residents say they receive assistance with personal care <br />activities? (i.e. brushing their teeth, combing their hair, <br />inserting dentures or cleaning their eyeglasses) <br />Yes <br />3. Did you see or hear residents being encouraged to participate in <br />their care by staff members? Yes <br />4. Were residents interacting with staff, other residents & visitors? Yes <br />5. Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? Yes <br />5a. Did staff members wear nametags that are easily read by <br />residents and visitors? Yes <br />6. Did you observe restraints in use? No <br />7. If so, did you ask staff about the facility’s restraint policies? <br />(note: Do not ask about confidential information without <br />consent) N/A <br /> <br />Resident Living Accommodations Yes <br />No <br />N/A <br />Comments/Other Observations <br />(please number comments) <br /> 8. Did residents describe their living environment as homelike? Yes 10c. Rooms in the 700 building <br />containing hazardous materials were <br />checked and found to be locked. <br /> <br />14. All residents asked said that staff <br />responded to calls for help promptly. <br /> 9. Did you notice unpleasant odors? No <br />10. Did you see items that could cause harm or be hazardous? No <br />10a. Were unattended med carts locked? Yes <br />10b. Were bathrooms clean, odor-free and free from hazards? Yes <br />10c. Were rooms containing hazardous materials locked? Yes <br />11. Did residents feel their living areas were kept at a reasonable <br />noise level? <br />Yes <br />12. Does the facility accommodate smokers? N/A <br />12a. Where? (Outside / inside / both) N/A <br />13. Were residents able to reach their call bells with ease? Yes <br />14. Did staff answer call bells in a timely & courteous manner? Yes <br />14a. If no, did you share this with the administrative staff? N/A <br /> *** N/A equals not applicable, not asked, not observed