Carol Woods 2017-10-31 - 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: Carol Woods Census – current/licensed: 17/30 Visit Date and day of the week October 31, 2017 - Tuesday Time spent in facility 1 hours 30 minutes Arrival time 8:30 am Name of person(s) with whom exit interview was held Valarie Jarvis, Lead Engagement Coach & Charlie Duff, Adminis- trator Interview was held ☒ in person Committee members present: Jacqulyn Podger, Molly Stein, Peggy Lanier, Susie Deter Number of residents who received personal visits from committee members 4 residents and 1 family member Report completed by: Susie Deter 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 sur- vey posted) : 10/7/16 (state has not scheduled next one) Staffing information clearly posted? Yes Resident Profile Yes No N/A Comments/Other Observations (please num- ber comments) 1. Do the residents appear neat, clean and odor free? Yes 6. Carol Woods is a restraint free facility. 2.Did residents say they receive assistance with personal care ac- tivities? (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 par- ticipate 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? N/A * 7. If so, did you ask staff about the facility’s restraint poli- cies? Note: Do not ask about confidential information without consent N/A