March 16-18, 2010

George E. Wahlen Ogden Veterans’ Home Second Veterans’ Home in Utah Construction completed November 2009 Dedication November 19, 2009 First Veteran admitted January 26, st Veteran admitted March 10, bed facility. Largest Veterans’ Home in State Four separate communities of 30 Veterans One 30 bed Memory Care Community Three 30 bed Skilled Nursing Care Communities All sleeping areas are private Some bathrooms are shared

George E. Wahlen Ogden Veterans’ Home Administration of the Veterans’ Home Contracted to Avalon Health Care Currently 126 employees (new jobs in the county) State Officer is the representative at the Home for oversight and Veterans’ advocacy Census as of this morning 97 Two Female Veterans 86 Male Veterans Two spouse and veteran live in Home Seven surviving spouses

VA Recognition Survey Process SLVA Medical Center of Jurisdiction Three members covered administration and finance Finance completed on first day Ascellon Corporation Four members Three nurses covered operations, dietary, nursing Former Marine fire fighter covered life safety Worked very well together as a team and with the Veterans’ Home staff

VA Recognition Survey Process Very professional approach Instructive not Destructive Very detailed Allowed for on-the-spot corrections Looked at every standard as a training opportunity Very patient in working through each issue This does not mean it was easy. You have to be prepared and ready.

VA Recognition Survey Process 158 Standards plus Life Safety Inspection All standards must be passed with “MET” status All Life Safety items must be met with no deficiencies Three Day Process 0800 In-Brief 1500 – 1700 Out-Brief

Dietary Asked detailed questions of staff Allowed for on-the-spot corrections Eye Wash Stations Had passed three previous surveys Legitimate concern with hot water scalds Worked with maintenance manager to install working solution

Human Resources Most stressful time was the preparation Heard that the survey was “Brutal” Worked with us to find solutions Great coaching and mentoring

Nursing Extremely thorough Very knowledgeable in all areas of patient care Spent a great deal of time with the Veterans More interested in systems than dotted i’s and crossed t’s Our systems were improved and we are providing better care due to the survey

Medical Records Process went well It was the best survey I have ever experienced. Team was insightful, helpful and willing to work with the staff It was a positive experience to work with them.

Life Safety Former Marine/Former fire fighter doing Life Safety – Watch Out! In Reality – Very instructive and focused on the Veterans’ safety Heavy on needing written logs to back up inspections and maintenance One area that still is subjective from surveyor to surveyor SLVH inspection criteria were slightly different

Social Worker RAP notes were “Canned” Survey Team helped our understanding of how to improve the RAP notes to make them more effective Very focused on training Good experience which has helped improve the care to our Veterans

OVERALL Good learning experience We had systems in place and working well in advance of the Survey Team arrival Staff did not “Fight” any areas Disagreements were allowed Worked together for solutions The Veterans’ Home staff and I were very appreciative of the work done by the Survey Team “Oh By the Way, We Passed!”

SUBJECT TO YOUR QUESTIONS THAT COMPLETES MY BREIFING