AL-Terra Bella Hillsborough 2025-03-26

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1. Do the residents appear neat,clean and odor free? Y 0 2. Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair, inserting Y dentures or cleaning their eyeglasses? 3. Did you see or hear residents being encouraged to participate in Y their care by staff members? 4. Were residents interacting with staff,other residents&visitors? Y 5. Did staff respond to or interact with residents who had difficulty Y communicating or making their needs known verbally? 6. Did you observe restraints in use? N/A 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 A resident described her environment as"as good as it can get"if she isn't at her own home. 9. Did you notice unpleasant odors in commonly used areas? N Individuals'environments and shared spaced were clean and well-maintained. 10. Did you see items that could cause harm or be hazardous? N 11. Did residents feel their living areas were too noisy? N 12. Does the facility accommodate smokers? Y Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside 13. Were residents able to reach their call bells with ease? Y 14. Did staff answer call bells in a timely&courteous manner? Y If no, did you share this with the administrative staff? N/A Resident Services Yes/No/NA Comments/Other Observations 15. Were residents asked their preferences or opinions about the Y Activities clearly posted in shared location. activities planned for them at the facility? 16. Do residents have the opportunity to purchase personal items of Y their choice using their monthly needs funds? Can residents access their monthly needs funds at their N/A convenience? 17. Are residents asked their preferences about meal/snack choices? Y A menu with multiple options is posted in Are they given a choice about where they prefer to dine? Y shared areas. Residents expressed concern that the facility was out of coffee that morning. 18. Do residents have privacy in making and receiving hone calls? Y 19. Is there evidence of community involvement from other civic, Y volunteer or religious groups? 20. Does the facility have a Resident's Council? Y Family Council? Y Areas of • • Exit Summary Are there resident issues or topics that need follow-up or review at a later N Exit summary conducted Laura, Director of time or during the next visit? Health and Wellness. • Multiple residents reported that the food could use improvement. We shared that our observations included that the facility was clean and that residents expressed satisfaction with the environment. This Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.(1/21/2020)