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Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County ORANGE <br /> <br />Census: 14 residents. Facility licensed for <br />15 <br /> <br />Facility Type <br /> <br /> <br />Facility Name: <br />Adorable Senior Living <br />401West Queen Street <br />Hillsborough, NC 27278 <br />Visit Date and day of the week <br />Monday, March 19, 2018 <br />Time spent in facility <br />45 minutes <br />Arrival time <br />4:00 pm <br />Name of person(s) with whom exit interview was held <br />No exit interview as Director, Patrick Ogbonna, was gone prior to our arrival. <br />Interview was held in person: <br />Committee members present: <br /> William Lang, Gloria Brown <br /> Number of residents who received personal visits from committee members : 2 <br />residents, 1 family member of a resident <br />Report completed by: <br />William Lang <br />Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly <br />posted: Yes <br />The most recent survey was readily accessible <br />(Required for NHs only – record date of most recent survey <br />posted) : NA <br />Staffing information clearly posted? <br /> <br />Resident Profile Yes <br />No <br />N/A <br />Comments/Other Observations <br />(please number comments) <br /> 1. Do the residents appear neat, clean and odor free? Yes <br /> <br /> <br /> <br /> <br /> <br />4.Residents were eating or just <br />finished eating. Staff were actively <br />engaged in assisting residents that <br />required assistance in eating and <br />preparing for their time after dinner. <br />5. Many of the residents have <br />difficulty communicating and staff <br />appear engaged and supportive of <br />these residents although one resident <br />was observed with her head down on <br />the dining table. <br />2. Did residents say they receive assistance with personal care <br />activities? (i.e. brushing their teeth, combing their hair, <br />inserting dentures or cleaning their eyeglasses) <br />NA <br />3. Did you see or hear residents being encouraged to participate in <br />their care by staff members? NA <br />4. Were residents interacting with staff, other residents & visitors? Yes <br />5. Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? Yes <br />5a. Did staff members wear nametags that are easily read by <br />residents and visitors? No <br />6. Did you observe restraints in use? No <br />7. If so, did you ask staff about the facility’s restraint policies? <br />(note: Do not ask about confidential information without <br />consent) NA <br /> <br />Resident Living Accommodations Yes <br />No <br />N/A <br />Comments/Other Observations <br />(please number comments) <br /> 8. Did residents describe their living environment as homelike? Yes 8. A family member was visiting a <br />resident and indicated that she was <br />very pleased with the care her aunt <br />was receiving do to the caring attitude <br />of the staff. <br /> <br />10. One unlocked closet that contained <br />several paint buckets. <br /> <br />10c. One unlocked closet that <br />contained several paint buckets. <br /> <br /> 9. Did you notice unpleasant odors? No <br />10. Did you see items that could cause harm or be hazardous? Yes <br />10a. Were unattended med carts locked? NA <br />10b. Were bathrooms clean, odor-free and free from hazards? Yes <br />10c. Were rooms containing hazardous materials locked? Yes <br />11. Did residents feel their living areas were kept at a reasonable <br />noise level? <br />Yes <br />12. Does the facility accommodate smokers? NA <br />12a. Where? (Outside / inside / both) NA <br />13. Were residents able to reach their call bells with ease? Yes <br />14. Did staff answer call bells in a timely & courteous manner? Yes