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Community Advisory Committee Quarterly/Annual Visitation Report County: ORANGE 624 Jones Ferry Rd Carrboro, NC Facility Type Family Care Home Adult Care Home Nursing Home Facility Name: Crescent Green Assisted Living Community Census: 88/120 Visit Date and day of the week Friday, June 16, 2017 Time spent in facility 75 minutes Arrival time 1:00PM Name of person(s) with whom exit interview was held Doris Coleman Interviews were held in person: Yes Committee members present: Cresha Cianciolo, Suzanne Haff, Michael Joseph and Yvonne Mendenhall Number of residents who received personal visits from committee members: Approx. 19 Report completed by: Cresha Cianciolo Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: No (posted, but incorrect Ombudsman named) The most recent survey was readily accessible (Required for NHs only – record date of most recent survey posted) : N/A Staffing information clearly posted? No Resident Profile Yes No N/A Comments/Other Observations (please number comments) 1. Do the residents appear neat, clean and odor free? Yes 1. More residents were visible and actively walking down the halls than previous visits. 2. The resident (with restricted movement) who shared at the last visit that he is unable to obtain assistance during the night to empty his urinal indicates that there has been no improvement 4. More staff members were seen at this visit and some were assisting residents with walkers. 5a. No staff members had name tags. “There aren’t any. It’s just not done here” per the new administrator. 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) No 3. Did you see or hear residents being encouraged to participate in their care by staff members? No 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? No 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) N/A Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? No 8. A bedroom on the men’s hall was being evacuated due to bedbugs. The room was in “isolation”. The State guidelines were being followed and many room fixtures were already in the ‘hot box’ being treated. The two affected men were to be showered and moved to a different room until the issue was resolved. CAC members noted that the temperature and humidity in this wing was uncomfortably high, though no 9. Did you notice unpleasant odors? Yes 10. Did you see items that could cause harm or be hazardous? No 10a. Were unattended med carts locked? Yes 10b. Were bathrooms clean, odor-free and free from hazards? Yes 10c. Were rooms containing hazardous materials locked? Yes 11. Did residents feel their living areas were kept at a reasonable noise level? Yes 12. Does the facility accommodate smokers? Yes 12a. Where? (Outside / inside / both) N/A 13. Were residents able to reach their call bells with ease? N/A 14. Did staff answer call bells in a timely & courteous manner? N/A