Email from the Exec. Dir. of Mom's Facility

Thank you for the time to review your concerns and to continue to build a program for your mom. I apologize if it appears thing have returned to "normal".

The scheduled activities are posted daily and [the floor coordinator] is adding the approximate start times. By creating a time frame with scheduling we can raise accountability and make it easier to family members to plan their visit to observe, participate or avoid contact during these times. You will continue to see a schedule of 5 or more activities a day with content mix spanning from physical to sensory, reminiscing to role play and life skill to solace.

Activities range from 5 minutes to 1 hour based on the content and audience Most are 30-45 minutes. Life skill centers, reminiscence kits, lap baskets and snoezelen room are "always available" engagement items that family members find enjoyable to use during visits. The Life Skill Centers are as follows: Vanity and dressing, workbench, office desk and home kitchen. Sensory and tactile items such as Snoezelen Room and Wall sensory portraits are equally enjoyable for short or long term experiences. Reminiscence kits explore cognitive dimensions deeper due to the recall and story telling aspect. Lap baskets are more tactile and sensory dealing with grouping, sorting, fine and gross motor skill. Story telling can also be a part of Lap basket use. Day ending activity is typically scheduled to commence at around 6:30 to 7:00 PM, lasting up to 45 minutes.

Our program dedicated medication administration team members are here through 11:00 PM 7 days a week. On isolated occasions when an AL or REM med passer in a particular neighborhood is not available the alternate med passer is available. This was the case for med passer leaving at 9:00 PM. From 11:00 PM to 6:00 AM one team member is credentialed to pass an as needed medication if necessary. Otherwise our selection of nurses are on call during the night shift.

The dryer has been addressed and no mold has been found in the laundry that was processed from being held in bags prior to being placed in the dryer.

In the evening when residents are getting ready for bed and the care managers are assisting residents there may be periods when there is not a team member in common areas of the neighborhood. There may be periods of wandering and exploration, which is for most intents and purposes ok. Most of the residents residing in the Reminiscence Neighborhood will engage in conversation with anyone for any reason, which may or may not accurately or specifically express their needs at the time.

I assure you there has not been a reduction care managers or medication passers serving the needs of the residents in Reminiscence.

I appreciate the detail you have provided. This makes addressing your understanding and concerns easier. I look forward to the continued dialog as this process evolves.

Respectfully,