Carol Woods 2016-06-02 - Laserfiche WebLink

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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type Family Care Home Adult Care Home X Nursing Home Facility Name: Carol Woods Census – current/licensed: 23/30 Visit Date and day of the week Thursday, 6/2/16 Time spent in facility 1 hour 20 minutes Arrival time 10 AM Name of person(s) with whom exit interview was held Interview was held X in person Committee members present: Number of residents who received personal visits from committee members 3 residents and 1 family member 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 Yes (Required for NHs only – record date of most recent survey posted) : 12/18/15 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 5a. One custodial staff person did not have an obvious nametag, but it may have been hidden by a cart 6. Carol Woods does not use restraints. They develop adaptive measures if a resident needs protection 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? Yes 5a Did staff members wear nametags that are easily read by residents and visitors? Yes* 6. Did you observe restraints in use? N/A* 7. If so, did you ask staff about the facility’s restraint policies? Note: Do not ask about confidential information without consent N/A Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? Yes 12. An outside covered smoking area is available 13. A resident sitting in the common area had a call bell readily available. There are call bell connections positioned in the common areas to make this possible. 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? No 10b. Were bathrooms clean, odor-free and free from hazards? Yes 10c. Were rooms containing hazardous materials locked? Yes 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 Yes* 13. Were residents able to reach their call bells with ease? Yes* 14. Did staff answer call bells in a timely & courteous manner? Yes 14a If no, did you share this with the administrative staff?