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Community Advisory Committee Quarterly/Annual Visitation Report County ORANGE 750 Weaver Dairy Road Chapel Hill, NC 27514 Facility Type Adult Facility Name: Carol Woods Retirement Community Bldgs 5, 6,7: N/A this visit Visit Date and day of the week 02/17/2017 Friday Time spent in facility 45 minutes Arrival time 2:00 pm Name of person(s) with whom exit interview was held Nancy Hastings Interview was held in person: Yes Committee members present: William Lang, Jack Vogt, Yvonne Mendenhall Number of residents who received personal visits from committee members : 10 Report completed by: William Lang Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes The most recent survey was readily accessible (Required for NHs only – record date of most recent survey posted) : NA Staffing information clearly posted? NA Resident Profile Yes No N/A Comments/Other Observations (please number comments) 1. Do the residents appear neat, clean and odor free? Yes 1. All residents appeared neat and clean. 4. In one of the assisted living buildings, residents were engaged in an afternoon tea which was served by staff. 5. Staff readily responded to resident with difficulty communicating that she was hungry. 2. Did residents say they receive assistance with personal care activities? (i.e. brushing their teeth, combing their hair, inserting dentures or cleaning their eyeglasses) Yes 3. Did you see or hear residents being encouraged to participate in their care by staff members? Yes 4. Were residents interacting with staff, other residents & visitors? Yes 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? Yes 5a. Did staff members wear nametags that are easily read by residents and visitors? Yes 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? (note: Do not ask about confidential information without consent) NA Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? Yes 8. One resident was baking bread which she stated she does every week. Staff recognize the various schedules of residents and readily accommodate these variations. 9. All units are clean and orderly with staff readily available to assist residents. 9. Did you notice unpleasant odors? No 10. Did you see items that could cause harm or be hazardous? No 10a. Were unattended med carts locked? NA 10b. Were bathrooms clean, odor-free and free from hazards? Yes 10c. Were rooms containing hazardous materials locked? NA 11. Did residents feel their living areas were kept at a reasonable noise level? Yes 12. Does the facility accommodate smokers? No 12a. Where? (Outside / inside / both) 13. Were residents able to reach their call bells with ease? NA 14. Did staff answer call bells in a timely & courteous manner? NA 14a. If no, did you share this with the administrative staff? NA