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Resident Services Yes/No/NA Comments/Other Observations 15. Were residents asked their preferences or opinions about the activities planned for them at the facility? Yes Residents indicated that there were a variety of activities offered, and were encouraged to participate 16. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? Can residents access their monthly needs funds at their convenience? Yes yes 17. Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? Yes* 17* Residents reported being content with the food. 18. Do residents have privacy in making and receiving phone calls? Yes 19. Is there evidence of community involvement from other civic, volunteer or religious groups? Yes 20. Does the facility have a Resident’s Council? Family Council? Yes Yes we met with a resident who indicated that they participated regular in resident’s counsel. A family member we talked to indicated they had received info on council Areas of Concern Yes/No/NA Exit Summary Are there resident issues or topics that need follow-up or review at a later time or during the next visit? N/a 1. one staff member was observed talking on the phone via Bluetooth headset (appeared to be work related) while actively preparing someone’s meds. 2. one resident yelling for support. Staff rep indicated they encourage participants to use the call buttons & provide visual cues/reminders, but sometimes residents will call out b/c of preference/ cognition 3. One staff member was observed referring to a resident by name, when loudly asking if that resident was “getting picked up” today. *Note for the record, not a concern, but we did discuss that residents seemed overall content with the quality of care they received. Staff treated well. This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.