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<br /> <br />Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County ORANGE Facility Type <br />Family Care Home <br />Adult Care Home X <br />Nursing Home <br />Facility Name: <br />Carillon <br />1911 Orange Grove Road <br />Hillsborough, NC 27278 <br />Phone: (919) 701-6776 <br />Census: 55/96 <br />Tuesday, March 7, 2017 <br />10am <br />Time spent in facility <br /> 2 hours 30 minutes <br />10am Arrival Time <br />Laurie Sawyer, Exec. Director Interview was held in person <br />Committee members present: Suzanne Haff, Gloria Brown, Deborah Stewart <br /> <br /> Number of residents who received personal visits from committee members 10 Report completed by: <br />Suzanne Haff <br />Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and <br />clearly posted: Yes <br />The most recent survey was readily accessible <br />(Required for NHs only – record date of most recent survey <br />posted) : <br />Staffing information clearly posted? N/A <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 1. Residents clean, dressed, <br />milling around visiting with <br />each other and staff, enjoying <br />muffins and other foods <br />available until 10:30 on the <br />buffet in the dining room. Staff <br />invited us in to share in the <br />buffet and chat with residents. <br /> <br />2. Two residents reading and <br />talking about the day's <br />activities that were posted on <br />the wall. <br />2. Did residents say they receive assistance with personal <br />care activities? (i.e. brushing their teeth, combing their hair, <br />inserting dentures or cleaning their eyeglasses) <br />Yes <br />3. Did you see or hear residents being encouraged to <br />participate 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 <br />verbally? <br />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 <br />policies? (note: Do not ask about confidential information <br />without consent) <br />N/A