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Residents
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YES
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NO
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Notes
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Up and out of bed at reasonable time | |||
Appear clean and dressed | |||
Interacting with staff and each other | |||
Participating in a regular schedule of activities | |||
Receiving meals that are ample and attractive | |||
Eating most of their meals | |||
Placed in restraints | |||
Staff
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Call the residents by name | |||
Interact with them | |||
Respond quickly when called for assistance | |||
Show respect and courtesy to residents | |||
Sensitive to ethnic cultural differences | |||
Knock before entering residents room | |||
Close doors/curtains for privacy when resident needs bathing, changing, or treatment | |||
Staffing adequate for serving meals in timely manner | |||
Staffing adequate to assist in bathing, dressing and attending to other resident needs | |||
Facility
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Exterior clean and in good repair | |||
Outside areas are accessible to residents | |||
Interior clean, good repair, free of odors | |||
Bedrooms have necessary equipment and residents are able to have personal items | |||
Residents have areas for private conversation including phone calls | |||
There is a room set aside for activities conducted by an Activity Director | |||
The home has handrails and grab bars in hallway | |||
Can two wheelchairs pass each other in hallway | |||
Is there adequate lighting throughout the home | |||
Do residents have call buttons readily available | |||
Do all exits have door alarms | |||
Adequate smoke alarms and detectors | |||
Is there an emergency lighting system | |||
Are warning signs displayed on wet floors | |||
Is the current state facility license displayed | |||
Is the current administrators license displayed | |||
Is there an active residents council | |||
Are residents rights posted and observed by staff | |||
Are visiting hours clearly posted | |||
Is the smoking policy posted | |||
Is the menu clearly posted and followed | |||
Is the facility under threat of punitive or proposed punitive action | |||
Comments
Positive
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Comments Negative | ||
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