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Community Advisory Committee Quarterly/Annual Visitation Report County: ORANGE Facility Type: Family Care Home x Nursing Home Adult Care Home Combination Home Facility Name/Address: BROOKSHIRE NURSING CENTER, HILLSBOROUGH Visit Date: 4 /24 /18 Time spent in facility: 1 hr 45 min Arrival time: 1:00 p.m. Name of person exit interview was held with Interview was held in person Logan Wilson Administrator in Training and Linda Liner, Acting Nursing Director Committee Members Present: Jerry Gregory and Carol Kelly Report Completed by: Jerry Gregory and Carol Kelly Number of Residents who received personal visits from committee members: Nine Resident Rights Information is clearly visable: xYes Ombudsman Contact Info is correct and clearly posted: x Yes The most recent survey was readily accessible: x Yes (Required for Nursing Homes Only) November 2017 Staffing information clearly posted: x Yes Resident Profile Yes/No/NA 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 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? yes 6. Did you observe restraints in use? no 7. If so, did you ask staff about the facility’s restraint policies? n/a Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? yes 9. Did you notice unpleasant odors in commonly used areas? no 10. Did you see items that could cause harm or be hazardous? no 11. Did residents feel their living areas were too noisy? no 12. Does the facility accommodate smokers? Where? Outside only Inside only Both Inside/Outside no 13. Were residents able to reach their call bells with ease? yes 14. Did staff answer call bells in a timely & courteous manner? If no, did you share this with the administrative staff? no/yes Some complained they were not answered promptly, especially on weekends. Resident Services Yes/No/NA Comments/Other Observations 15. Were residents asked their preferences or opinions about the activities planned for them at the facility? yes Offerings are posted on a large bulletin board and on individual sheets. Several residents made positive comments about activities ranging from music programs and crafts to bird watching. 16. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? Can residents access their monthly needs funds at their convenience? yes 17. Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? yes 18. Do residents have privacy in making and receiving phone calls? yes 19. Is there evidence of community involvement from other civic, volunteer or religious groups? yes 20. Does the facility have a Resident’s Council? Family Council? yes no Areas of Concern Yes/No/NA Exit Summary