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Areas of Concern Exit Summary <br />Are there resident issues or topics that need follow-up or <br />review at a later time or during the next visit? <br /> <br />Areas of Prior Concern: <br />-Strong urine odor down one hall <br />-Bathrooms with wet towels <br />-Inadequate meal portions <br /> <br />Present Areas of Concern <br />-Lack of nighttime monitoring <br />-Strong urine odor on one or two women residents <br />-Inability to get additional beverages at meals <br />Discuss items from “Areas of Concern” Section as well as <br />any changes observed during the visit. Give summary of <br />visit with Administrator or SIC. Does the facility have <br />needs that the committee or community could help <br />address? <br /> <br />The committee met with Kevin Crawford, Resident <br />Care Coordinator, at the beginning of the visit. Mr. <br />Crawford shared welcome news about how Crescent <br />Green had begun using the QuickMAR electronic <br />medication administration system. This program <br />allows for easier management and administration of <br />pharmaceuticals, and reduces medication <br />administration errors and provides real-time <br />verification of prescriptions being administered. Mr. <br />Crawford also indicated that he is using the program <br />to upload residents’ medical record information for <br />the residents. He indicated that this process change <br />has been extremely beneficial to the facility in the two <br />months since its rollout, with most staff buying in and <br />a noticeable reduction in paperwork (this was <br />observed by the committee, who usually sees a large <br />stack of papers on Mr. Crawford’s desk, which was <br />not present at this visit). Mr. Crawford also indicated <br />that the facility has hired a new administrator, Ms. <br />Doris Coleman. Additionally, there is an attempt to <br />hire CNAs to improve knowledge and skill of <br />employees and to promote professionalism and <br />continuity. The facility census has moved up <br />somewhat, and although challenges with PCS <br />qualification still persist, Mr. Crawford indicated that <br />things are stabilizing somewhat. <br /> <br />To follow up with issue (see #2 above), the <br />Ombudsman’s number was called by a Resident <br />Advocate the next day (Friday). Although the phone <br />was not answered, there was an opportunity to leave a <br />message. A return call to the RA was received on <br />Monday and the resident’s concerns discussed. The <br />Ombudsman was familiar with this resident and <br />indicated that she would investigate the matter. <br />