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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Facility Name/Address: Parkview Health &Rehabilitation Family Care Home Nursing Home Center Adult Care Home Visit Date: 09/23/2022 Time spent in facility: 1 hr 15 min Arrival time: 2:30 am pm Name of person exit interview was held with: Luke Tatabod, RN (Nursing Director) Interview was held: in Person Phone Admin. SIC(Supervisor in Charge) Other Staff Rep. (Name& Title) Committee Members Present: Kelly Kester Stephanie Boswell Report Completed by: Kelly Kester Number of Residents who received personal visits from committee members: 5 Resident Rights Information is clearly visible: Yes Ombudsman Contact Info is correct and clearly posted: Yes The most recent survey was readily accessible: Yes Staffing information clearly posted: Yes (Required for Nursing Homes Only) Resident Profile • Comments/Other Observations 1. Do the residents appear neat,clean and odor free? Y F---------—- 2. Did residents say they receive assistance with personal care One resident described that she worked with activities? Ex. brushing their teeth, combing their hair, inserting an occupational therapist to brush her hair and dentures or cleaning their eyeglasses? Y perform other self-care tasks. She enjoyed this therapy and looks forward to the visits. ----------—- 3. Did you see or hear residents being encouraged to participate in Y their care by staff members? F----------—- 4. Were residents interacting with staff, other residents&visitors? Residents were co-located in a common area Y for an ice cream social. They were interacting with each other,watching television, and enjoying ice cream with help from the staff. 5. Did staff respond to or interact with residents who had difficulty Y Staff members were helping residents eat as communicating or making their needs known verbally? needed. 6. Did you observe restraints in use? N F-----------1 7. If so, did you ask staff about the facility's restraint policies? N/A Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? Y 9. Did you notice unpleasant odors in commonly used areas? N 10. Did you see items that could cause harm or be hazardous? Y One medication cart left open and unlocked 11. Did residents feel their living areas were too noisy? Y One resident described the hallway as noisy at night due to staff conversations 12. Does the facility accommodate smokers? N/A Where? Outside only Inside only Both Inside/Outside