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<br /> <br />Facility / Date: Signature 10/16/2017 <br /> <br /> <br /> <br /> <br />Resident Services Yes <br />No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br />15. Were residents asked their preferences or opinions <br /> about the activities planned for them at the facility? <br />Yes <br />15a: The hall, where the monthly activity <br />calendar used to be posted, is being painted so <br />information is not posted during visit. The <br />Activity Director shared that a monthly <br />activity calendar is not posted as she prefers to <br />use a weekly calendar so changes in the <br />scheduled activities can be made easily during <br />the month. The weekly calendar is printed and <br />distributed to each resident. During our visit, <br />some residents had the calendars for the week <br />in their hands. The Activity Director also <br />shared that the residents are encouraged to <br />provide feedback about the activities. <br /> <br /> <br /> <br />17: Most residents were aware of the food <br />choices they have. One resident stated that no <br />alternative was offered when meal was <br />rejected. This was brought up to the <br />Administrator and she explained that there are <br />alternative meal options and that these are <br />offered routinely when a resident requests <br />another meal. <br />17a: Residents who can feed themselves may <br />eat in one of two dining rooms or may eat in <br />their rooms. However, residents who need <br />assistance eating, eat together in a dining <br />room. <br />17b: Most residents stated that food is good. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />15a. Was a current activity calendar posted in the facility? Yes* <br />15b. Were activities scheduled to occur at the time of <br />your visit actually occurring? <br />Yes <br />16. Do residents have the opportunity to purchase personal <br /> items of their choice using their monthly needs funds? <br />Yes <br />16a.Can residents access their monthly needs funds at <br />their convenience? <br />Yes <br />17. Are residents asked their preferences about meal & <br />snack choices? <br />Yes* <br />17a. Are they given a choice about where they prefer to dine? Yes* <br />17b. Did residents express positive opinions regarding <br />their dining experience? <br />Yes <br />17c. Is fresh ice water available and provided to residents? Yes <br />18. Do residents have privacy in making and receiving <br /> phone calls? <br />Yes <br />19. Is there evidence of community involvement from other <br />civic, volunteer or religious groups? <br />Yes <br />20. Does the facility have a functioning: Resident and <br />Family Council? <br />Yes <br /> <br /> <br /> <br />