Orange County NC Website
Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br /> Family Care Home <br /> Adult Care Home <br />X Nursing Home <br />Facility Name: Carol Woods Retirement Community <br /> <br /> <br />Census – current/licensed: 17/27 <br />Visit Date and day of the week: <br />February 16, 2017 <br />Time spent in facility: <br />2 hours 20 minutes <br />Arrival time: 10AM <br />Name of person(s) with whom exit interview was held: <br /> <br />Charlie Duff- Facility Administrator and <br />Valarie Jarvis – Lead Nursing Engagement Coach <br /> <br />Interview was held: X in person <br />Committee members present: <br />Sandra Nash, Susie Deter, Jacqulyn(Jackie) Podger <br /> <br />Number of residents who received personal visits from committee members: 8 Report completed by: Jacqulyn Podger <br /> <br />Resident Rights information is clearly posted? YES Ombudsman contact information is correct and clearly posted: YES <br /> <br />The most recent survey was readily accessible : YES <br />(Required for NHs only – record date of most recent <br />survey posted) : 10/7/2016 <br />Staffing information clearly posted? NO, the staffing report was <br />requested and the nurse on duty searched for and presented, but <br />removed it shortly thereafter. <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 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />2.Did residents say they receive assistance with personal care <br />activities? (i.e. brushing their teeth, combing their hair, inserting <br />dentures or cleaning their eyeglasses) <br />YES <br />3. Did you see or hear residents being encouraged to participate <br /> in their care by staff members? NO <br />4.Were residents interacting with staff, other residents & visitors? YES <br />5.Did staff respond to or interact with residents who had <br />difficulty communicating or making their needs known verbally? YES <br />6. Did you observe restraints in use? NO <br />7. If so, did you ask staff about the facility’s restraint policies? <br />Note: Do not ask about confidential information without consent N/A <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 <br /> 9. Did you notice unpleasant odors? NO <br />10. Did you see items that could cause harm or be hazardous? NO <br />10a. Were unattended med carts locked? YES <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 <br /> noise level? <br />YES <br />12. Does the facility accommodate smokers? <br />Note: By regulation smoking is only permitted outside of the <br /> Building <br />NO <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? N/A