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Carol Woods 2018-05-25
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Carol Woods 2018-05-25
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9/18/2018 12:03:11 PM
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Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County: Orange <br />Weaver Dairy Rd, Chapel Hill NC <br /> <br />Facility Type <br />Family Care Home <br />X Adult Care Home <br />Nursing Home <br />Facility Name: Carol Woods <br />Census: bldg. 5: 28/36; bldg.6 & 7: 21/24 <br /> <br />Visit Date and day of the week <br /> Friday, May 25, 2018 <br />Time spent in facility 2 hours Arrival time 2:30PM <br />Name of person(s) with whom exit interview was held: Debbie Every, RN, <br />Coordinator Assisted Living <br />Interview was held in person <br />yes <br />Committee members present: <br />A. Yvonne. Mendenhall , Michael Zuber <br /> Number of residents who received personal visits from committee members : 8 Report completed by: Mendenhall <br /> <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) : <br />Staffing information clearly posted? Yes <br /> <br />Resident Profile Yes <br />No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br /> 1. Do the residents appear neat, clean and odor free? Yes 1-7. All individuals, residents, staff and <br />visitors appeared healthy, comfortable, <br />and positive. At the time of the visit, it <br />was a quiet time after lunch. <br /> <br />Staff is visible in the facility, and very <br />observant, but not intrusive. <br /> <br />Comments made by residents indicated a <br />comfortable, respectful and caring <br />relationship among staff and residents. <br /> <br />The staff knew where the residents were <br />at our visit and offered suggestions on <br />visiting with specific individuals to help <br />the conversation, e.g. speak loudly, <br />hearing is a challenge. <br /> <br />2. Did residents say they receive assistance with personal care activities? <br />(i.e. brushing their teeth, combing their hair, inserting dentures or <br />cleaning their eyeglasses) <br />Yes <br />3. Did you see or hear residents being encouraged to participate in their <br />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 difficulty <br />communicating or making their needs known verbally? Yes <br />5a. Did staff members wear nametags that are easily read by residents <br />and visitors? <br /> <br />Yes <br />6. Did you observe restraints in use? No <br />7. If so, did you ask staff about the facility’s restraint policies? (note: Do <br />not ask about confidential information without consent) <br /> NA <br /> <br />Resident Living Accommodations Yes <br />No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br /> 8. Did residents describe their living environment as homelike? Yes 8-14. The facility was very pleasant, <br />homelike and comfortable to all senses— <br />quiet, fresh fragrance, good lighting, <br />comfortable temperatures, etc. No unsafe <br />or unsanitary conditions were observed. <br /> <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. 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 noise <br />level? <br />Yes <br />12. Does the facility accommodate smokers? N/A <br />12a. Where? (Outside / inside / both) 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? <br />*** N/A equals not applicable, not asked, not observed <br /> <br /> <br />
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