Brookshire 2016-02-02 - 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: Brookshire Census – current/licensed: 78/80 Visit Date and day of the week 02/02/2016 Tuesday Time spent in facility 1 hours 05 minutes Arrival time 10:00 AM Name of person(s) with whom exit interview was held Director of Nursing Interview was held in person Committee members present: Number of residents who received personal visits from committee members 8 Report completed by: Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes The most recent survey was readily accessible No (Required for NHs only – record date of most recent survey posted) : 03/13/2015 (see exit interview). 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 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? N/A 5a Did staff members wear nametags that are easily read by residents and visitors? Yes 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 Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? Yes 10c: The door to the "Hazardous Waste" room was found unlocked. 14: Question is answered both yes and no for the following reason: Residents responded that call bells are answered promptly on day shift during the week, however on week-ends and at night it may take a long time (30 min or more) to get responses to call bells. 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? No* 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 No 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely & courteous manner? Y/N* 14a If no, did you share this with the administrative staff? Yes *** N/A equals not applicable, not asked, not observed