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Community Advisory Committee Quarterly/Annual Visitation Report County ORANGE 405 Smith Level Rd Chapel Hill NC 27516 Facility Type Family Care Home Adult Care Home Nursing Home Facility Name: The Stratford Census – current/licensed: 74/77 Visit Date and day of the week May 10 2017 Time spent in facility 1 hours 15 minutes Arrival time 3:30 PM Name of person(s) with whom exit interview was held Mary Ann Stamey, Administrator Interview was held in person Committee members present: Deborah Stewart, Beverly Foster and Gloria Brown Number of residents who received personal visits from committee members 5 Report completed by: Gloria Brown Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes The most recent survey was readily accessible N/A (Required for NHs only – record date of most recent survey posted) : Staffing information clearly posted? Yes Resident Profile Yes No N/A Comments/Other Observations (please number comments) 1. Do the residents appear neat, clean and odor free? Yes 1. Everyone was dressed neatly, moving around or watching TV. 2. One resident stated that they had gone without a shower for 2 weeks. 4. Residents in Memory Care sitting around tables with no interactions among them observed, no activity taking place, staff of 3-4 clustered at the nurses station. 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? 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 No Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? Yes 12. Upon arrival one team member sat with residents under the front porch and she was later joined by another team member. No Smoking Sign Posted but a couple residents were smoking and they commented that the "chiefs come out here and smoke so do we." 13. Residents commented that they can get help as needed, including medications. 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? No 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? Note: By regulation smoking is only permitted outside of the Building Yes 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely & courteous manner? Yes 14a If no, did you share this with the administrative staff? N/A *** N/A equals not applicable, not asked, not observed