Brookshire 2016-12-06 - Laserfiche WebLink

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Community Advisory Committee Quarterly/Annual Visitation Report County Orange Facility Type Family Care Home Adult Care Home xNursing Home Facility Name: Brookshire Census – current/licensed: 73/80 Visit Date and day of the week 12/6/16 Tuesday Time spent in facility One hour Arrival time 9:50am. Name of person(s) with whom exit interview was held Linda Liner, DON Interview was held x in person Committee members present: Jerry Schreiber Jerry Gregory and Vibeke Talley Number of residents who received personal visits from committee members 15 Report completed by: Jerry Schreiber Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes The most recent survey was readily accessible Yes (Required for NHs only – record date of most recent survey posted) : 3/17/2016 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? Yes 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 N/A