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<br /> <br />20. Does the facility have a Resident’s Council? <br />Family Council? <br />yes <br />no <br /> <br /> Areas of Concern Yes/No/NA Exit Summary <br />Are there resident issues or topics that need follow-up or review at a later <br />time or during the next visit? <br />-Lack of water in rooms was observed and several residents complained <br />they were not given water or had to get it themselves. When we mentioned <br />this concern to the administrator, she was surprised and told us that she <br />has someone whose job it is to provide water to residents. <br />-Serious concerns were voiced about staff. It was pointed out that many <br />night shift staff are working two jobs and had been observed sleeping in the <br />break room during shifts. One resident noted that call bells go off <br />throughout the night unanswered and that sometimes one staff member <br />covers two floors. A resident said she had tried to respond to call bells or <br />pleas for help herself if she could. For example, getting water for someone <br />else, or going to the desk to try to find a staff person. It was felt that call <br />bells or cries for help were ignored. The person who said she had waited 40 <br />minutes for pain medication said she did not push the call button again as <br />the person responding would become upset with her. A resident who often <br />sat outside observed that staff took extended breaks. One person felt many <br />staff had negative attitudes toward their jobs and residents were provided <br />little service. Another resident thought that some of the staff were very <br />good, but the staff who are not good complain even to the residents and are <br />unprofessional. <br /> <br />yes Discuss items from “Areas of Concern” Section <br />as well as any changes observed during the visit <br />-The administrator mentioned staff members <br />sometimes called in sick and she had no control <br />at times over being short staffed. <br />- She noted several CNAs were new; she intends <br />to find out who is sleeping during night shift. <br />-We did review improvements made in food <br />services including choices offered. <br />-One resident complained that her tray was taken <br />away while her medications were still on it. The <br />tray was later retrieved. When brought to the <br />administrator’s attention, she immediately went to <br />investigate. <br /> <br />his Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form. <br />Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.