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Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County ORANGE <br />100 Lanark Rd. <br />Chapel Hill, NC 27517 <br />Facility Type <br />Family Care Home <br />Adult Care Home <br />Nursing Home <br />Facility Name: Brookdale Meadowmont <br />Census Licensed Total: 47/53 <br />General: 39/43 <br />Memory Care: 08/10 <br /> <br />Visit Date and day of the week <br />May 25, 2018 Friday <br />Time spent in facility <br />1 hour 0 minutes <br />Arrival time 3:45 PM <br />Name of person(s) with whom exit interview was held: Laura <br />Hannigan, Executive Director <br />Interview was held in person? Yes <br />Committee members present: A. Yvonne Mendenhall, Michael Zuber <br /> <br />Number of residents who received personal visits from committee members: 6 Report completed by: Yvonne <br />Mendenhall <br />Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes <br /> <br />The most recent survey was readily accessible <br />(Required for NHs only – record date of most recent <br />survey posted): <br />Staffing information clearly posted? Yes <br /> <br />Resident Profile Yes No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br /> 1. Do the residents appear neat, clean and odor free? Yes 1-5. The residents and staff all looked very <br />clean, well-groomed and healthy. <br /> <br />Residents in the memory unit were observed <br />and cared for. Interactions were upbeat, <br />positive, comfortable and respectful between <br />residents and staff. <br /> <br /> <br /> <br /> <br />2. Did residents say they receive assistance with personal care <br />activities? (i.e. brushing their teeth, combing their hair, inserting <br />dentures or cleaning their eyeglasses) <br />Yes <br />3. Did you see or hear residents being encouraged to participate <br /> in their care by staff members? Yes <br />4.Were residents interacting with staff, other residents & visitors? Yes <br />5.Did staff respond to or interact with residents who had <br />difficulty communicating or making their needs known verbally? Yes <br />5a Did staff members wear nametags that are easily read by <br /> residents and visitors? Yes <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 consent N/A <br /> <br />Resident Living Accommodations Yes No <br />N/A <br />Comments/Other Observations (number <br />comments) <br /> 8. Did residents describe their living environment as homelike? Yes 8-14. Residents DID describe Brookdale as <br />homelike. While we visited, one resident was <br />moving back into Brookdale by her daughter. <br />She lived there for a short time and thought she <br />preferred being at her home. A couple of weeks <br />later, she wanted to be back at Brookdale and <br />returned. <br /> <br />Brookdale Meadowmont is clean, inviting, <br />comfortable and very safe. <br /> 9. Did you notice unpleasant odors? No <br />10. Did you see items that could cause harm or be hazardous? No <br />10a. Were unattended med carts locked? N/A <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? <br />Note: Regulations permit smoking outside the Building only. <br />N/A <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 <br />14a If no, did you share this with the administrative staff? N/A <br /> *** N/A equals not applicable, not asked, not observed <br /> <br /> <br />