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Facility / date: Carol Woods/3/2/16 <br /> <br />Resident Services Yes <br />No <br />N/A <br />Comments/Other Observations <br />(please number comments) <br />15. Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />N/A 20. Families can attend Resident <br />Council. <br />15a. Was a current activity calendar posted in the facility? Yes <br />15b. Were activities scheduled to occur at the time of your visit <br />actually occurring? <br />Yes <br />16. Do residents have the opportunity to purchase personal items of <br />their choice using their monthly needs funds? <br />N/A <br />16a. Can residents access their monthly needs funds at their <br />convenience? (#16 and 16a pertain only to residents on <br />Medicaid/Special Assistance. NHs $30 per month. ACHs <br />$66 minus medication co-pay and full cost OTC drugs) <br />N/A <br />17. Are residents asked their preferences about meal & snack <br />choices? (Adult Care Home residents should receive snacks <br />3X per day. Nursing Home residents should be offered snacks <br />at bedtime.) <br />Yes <br />17a. Are they given a choice about where they prefer to dine? Yes <br />17b. Did residents express positive opinions regarding their dining <br />experience (the food provided)? <br />N/A <br />17c. Is fresh ice water available and provided to residents? Yes <br />18. Do residents have privacy in making and receiving phone calls? Yes <br />19. Is there evidence of community involvement from other civic, <br />volunteer or religious groups? <br />Yes <br />20. Does the facility have a functioning: Resident’s Council? <br /> Family Council? <br />Yes <br /> No <br /> <br />Areas of Concern Exit Summary <br />Are there resident issues or topics that need follow-up or <br />review at a later time or during the next visit? <br /> <br />No <br />Discuss items from “Areas of Concern” Section as <br />well as any changes observed during the visit. Give <br />summary of visit with Administrator or Supervisor-In- <br />Charge. Does the facility have needs that the <br />committee or community could help address? <br /> <br />The current DON will begin dealing exclusively with <br />administrative issues, and another DON will be <br />starting the end of March, 2016, to handle clinical <br />issues. <br /> <br /> <br /> <br /> <br />