March's Choose Well Times features Leo Espinosa's journey to becoming licensee and administration of Butterfly Gardens II. You'll find that on the first page of the issue. If you're looking for activities for your facility, this issue has suggestions for holiday-themed activities and lists not-for-profit organizations offering pet therapy happiness. Page 4 of this issue has an article on Resident Councils and what your responsibilities are for allowing your residents to assemble to talk over issues they have with your facility.
As a non-medical care model, RCFEs are not licensed to provide medical care to residents. Instead, facilities are responsible for assisting residents with accessing and receiving medical care from licensed professionals. Choose Well’s Quality Measure 11, in part, reflects a facility’s compliance with serving as the liaison between residents and licensed medical professionals.
January 2019's edition of Choose Well Times reminds providers of the annual data-dropoff and rescoring event. There is also an article about fall prevention, a promo for the 7 February Lunch n' Learn event at the HHSA East County Offices, late-breaking news about the number of Choose Well members in each of six HHSA Regions, links to CCLD's most current PINs, and more.
Quality Measure 10 contains fourteen Title 22 regulations. One of these is regulation Section 87466, Observation of the Resident.
While Section 87466 is only cited four times among Choose Well Members, it was cited over 50 times within the non-Choose Well group of local facilities. But all assisted living facilities can find themselves in a tough spot at times. Caring for higher acuity residents in a non-medical setting, with non-medical staff, means some conditions may not be recognized as critical before damage is done. This article is to encourage facilities to reconsider how well they are training their staff on the importance of observation and supporting them with ways to easily communicate any observed changes.
According to the Alzheimer’s Association, wandering behaviors are an effective predictor of resident elopements, with 80% of those who demonstrate wandering behaviors successfully exiting their home or facility. The regular assessment of dementia residents can help alert management, staff, and families to wandering behaviors before they turn into an elopement incident.
Staffing is one of the key ingredients to providing quality care in assisted living. The nature of resident needs—assistance with activities of daily living, ambulation, scheduled activities, medication management—require the physical presence and support of others. Studies show time and again an important relationship between staffing and resident outcomes.
Over the past 5 years, approximately 12% of the citations issued to San Diego facilities were for violations related to staffing requirements. To help facilities reduce non-compliance in this area, below is a list of items facilities should review regularly.
The new Choose Well Times for November has been sent to your email inbox, and we're posting it here for you as well. This issue contains an interview with Tami Amundson, licensee of 3 Sisters Hacienda, and how she works to attract and retain staff members. There is also Save-the-Date information about the upcoming 12/6 Advisory Workgroup Meeting, and the February 7th Lunch n' Learn.
Dan Bailey's Lakeside Manor is featured in the September issue of the Choose Well Times. The newsletter also reports on the latest PINS which have been added to the website. You'll find 5 cool things about Choose Well that you may not have known, and Chrisy Selder's article about staying in compliance with Title 22's water temperature reg is also a good read. In the Compliance Corner you'll see a reminder to have the LGBT Bill of Rights posted next to your nondiscrimination policy.
The Choose Well Team hears from providers that not all citations issued by the state tell a complete story of the incident nor do they reflect the true nature of the facility’s operations. As a result, the Choose Well Program offers facilities a number of ways to balance their Choose Well Score to create a more complete public profile for families and professionals considering placement.
Facilities that join the Choose Well Program with citations, or those that experience a drop in their Choose Well score due to a recent state inspection, should absolutely be taking advantage of the Choose Well Program’s Bonus Point system and the Provider Comment Section. Read more to learn how.
Quality Measure 6: Resident Rights Ensuring residents are treated with dignity and respect and are fully educated on their rights.
Sometimes honoring a resident's right to choose might feel at odds with the care and supervision facilities are responsible for providing.
Research suggests facilities should focus on redirecting residents in positive ways to accomplish tasks and respect resident choice. Read on for some suggestions on how to create a culture that empowers and dignifies residents.