Cedar Grove 2018-09-27 - Laserfiche WebLink

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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange 12 residents/12 licensed Facility Type: X Family Care Home Nursing Home Adult Care Home Facility Name/Address: Cedar Grove Family Care Homes 403 Saw Mill Road Cedar Grove, NC 27231 Visit Date: 09 /27 / 2018 Time spent in facility: 0 hr 45min Arrival time: 3:10 am X pm Name of person exit interview was held with: Sister of Betsy Collins Interview was held: X in Person Phone Admin. SIC (Supervisor in Charge) X Other Staff Rep. (Name & Title) Committee Members Present: Gloria Brown, Will Lang Report Completed by: Will Lang Number of Residents who received personal visits from committee members : 6 Resident Rights Information is clearly visable: X Yes No Ombudsman Contact Info is correct and clearly posted: Yes X No The most recent survey was readily accessible: Yes No (Required for Nursing Homes Only) Staffing information clearly posted: Yes No Resident Profile Yes/No/NA Comments/Other Observations Do the residents appear neat, clean and odor free? Yes Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair, inserting dentures or cleaning their eyeglasses? Yes One resident was fresh from being shaved by staff. Did you see or hear residents being encouraged to participate in their care by staff members? Yes Were residents interacting with staff, other residents & visitors? Yes Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? Yes Did you observe restraints in use? No If so, did you ask staff about the facility’s restraint policies? No Resident Living Accommodations Yes/No/NA Comments/Other Observations Did residents describe their living environment as homelike? Yes Did you notice unpleasant odors in commonly used areas? No Did you see items that could cause harm or be hazardous? No Did residents feel their living areas were too noisy? No Most residents appear to have a TV in their room, yet many were sitting around the TV in the living room. Does the facility accommodate smokers? Where? Outside only Inside only X Both Inside/Outside Yes Were residents able to reach their call bells with ease? NA The facility is very small so staff are easily accessible to residents. Did staff answer call bells in a timely & courteous manner? If no, did you share this with the administrative staff? NA NA Resident Services Yes/No/NA Comments/Other Observations Were residents asked their preferences or opinions about the activities planned for them at the facility? NA Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? Can residents access their monthly needs funds at their convenience? Yes Yes Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? No All meals are provided at a family dining table where all residents eat together. They are able to eat in their rooms if preferred. Do residents have privacy in making and receiving phone calls? Yes Is there evidence of community involvement from other civic, volunteer or religious groups? No Does the facility have a Resident’s Council? Family Council? No This is a very small facility so resident input is regularly sought and considered. Areas of Concern Yes/No/NA Exit Summary Are there resident issues or topics that need follow-up or review at a later time or during the next visit? During our last visit one house seemed dark, especially in the hall. This has been corrected and the hall appeared brighter. No Discuss items from “Areas of Concern” Section as well as any changes observed during the visit No areas of concern were identified during this visit. This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form. Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.