Adorable Senior Living 2018-06-07

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Community Advisory Committee Quarterly/Annual Visitation Report County ORANGE Facility Type Facility Name: Adorable Senior Living 401 West Queen Street ❑Family Care Home Census—current/licensed: Total: 17/15 Hillsborough,NC 27278 ®Adult Care Home ❑Nursing Home Visit Date and day of the week Time spent in facility Arrival time 2:00 PM 06 07 2018 Thursday 1 hours 15 minutes Name of person(s)with whom exit interview was held Interview was held Yes in person Marie Martin Med Tech Administrator was not on site Committee members present: Will Lang and Gloria Brown Number of residents who received personal visits from committee members 6 Report completed by: Gloria Brown Resident Rights information is clearly posted?Yes Ombudsman contact information is correct and clearly posted: No they still have the wrong last name for Autumn The most recent survey was readily accessible Staffing information clearly posted? No (Required for NI-Is only—record date of most recent survey posted) : Resident Profile Yes Comments/Other Observations(please number No comments) N/A 1. Do the residents appear neat, clean and odor free? Yes 1) Everyone was up and dressed and a little sleepy from a 2. Did residents say they receive assistance with personal care big lunch. activities?(i.e.brushing their teeth, combing their hair,inserting Yes The environment was clean,calm, and orderly. They have dentures or cleaning their eyeglasses) a new security system. There is a monitor in the 3. Did you see or hear residents being encouraged to participate Administrators office. in their care b staff members? Yes 5)Observed the med tech, medical assistant and the cook 4. Were residents interacting with staff, other residents& Yes engaged with the residents. visitors? 5. Did staff respond to or interact with residents who had Yes difficulty communicating or making their needs known verbally? 5a Did staff members wear nametags that are easily read by No residents and visitors? 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility's restraint policies? No Note: Do not ask about confidential information without consent Resident Living Accommodations Yes Comments/Other Observations (please number No comments) N/A 8. Did residents describe their living environment as homelike? Yes 8)All the rooms were clean and neat, only 1 person 9. Did you notice unpleasant odors? No was in the newly created activity room, and one was 10. Did you see items that could cause harm or be hazardous? No doing crossword puzzles in her room while watching 10a. Were unattended med carts locked? No her TV. l Ob.Were bathrooms clean, odor-free and free from hazards? Yes l Oc. Were rooms containing hazardous materials locked? Yes 11. Did residents feel their living areas were kept at a reasonable Yes noise level? 12. Does the facility accommodate smokers? Note: By NA 12)While waiting to go in one staff member went to regulation smoking is only ermitted outside of the building the end of the street to smoke. 13. Were residents able to reach their call bells with ease? Yes 14.Did staff answer call bells in a timely&courteous manner? NA 14a If no, did you share this with the administrative staff? ***N/A equals not applicable,not asked,not observed