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Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange County Facility Type: <br />Adult Care Home <br />Family Care Home Nursing Home <br />Facility Name /Address: Crescent Green Census: 80/120 <br /> 624 Jones Ferry Rd, Carrboro, NC 2751 0 <br />Vi sit Date: 10 / 30 / 2018 Time spent in facility: 1 hr 10 min Arrival time: 5:30 am pm <br />Name of person exi t interview was held with : Kemonty Foushee Interview was held: in Person Phone <br /> Admin. SIC (Supervisor in Charge) Other Staff Rep. (Name & Title) <br />Committee Members Present: Michael Zuber, Tiketha Collins Report Completed by: Michael Zuber <br />Number of Residents who received personal visits from committee me mbers: 10 <br />Resident Rights Information is clearly visable: Yes No Ombudsman Contact Info is correct and clearly posted: Yes No <br />The most recent survey was readily acce ssible: Yes No <br />(Required for Nursing Homes O nly) <br />Staffing information clearly posted: Yes No <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1. Do the residents appear neat, clean and odor free? Yes 1. Generally, the residents appeared well taken <br />care of by staff. Most of the residents were <br />pleased with their stay at Crescent Green. <br /> <br />One resident was laying on his mattress without <br />any sheets or blankets. He was waiting for clean <br />sheets after his room was sprayed for bedbugs. <br /> <br />4 / 5. Residents were eating dinner at the time of <br />our arrival. Staff were delivering food and <br />assisting those who couldn’t feed themselves. <br />The interactions we witnessed were professional, <br />respectful and personable. <br />2. Did residents say they receive assistance with personal care <br />activities? Ex. 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 in <br />their care by staff members? No <br />4. Were residents interacting with staff, other residents & visitors? Yes <br />5. Did staff respond to or interac t with residents who had difficulty <br />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 restr aint policies? <br />N/A <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />8. Did residents describe their living environment as homelike? No 8. A few residents decorated their room s with <br />personal items and pictures. <br /> <br />10. M ultiple resident prescriptions were left on top <br />of a med cart in the hallway. Anyone could have <br />read or taken the prescriptions. Additionally, we <br />noticed chemicals in the hall, located on a rolling <br />trashc an <br /> <br />9. Did you notice unpleasant odors in commonly used areas? No <br />10. Did you see items that could cause harm or be hazardous? Yes <br />11. Did residents feel their living areas were too noisy? No <br />12. Does the facility accommodate smokers? <br />Where? Outside only Inside only Both Inside/Outside <br />Yes <br />13. Were residents able to reach their call bells with ease? N/A <br />14. Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br />N/A <br />N/A <br />Resident Services Yes/No/NA Comments/Other Observations <br />15. Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />Yes 15. Residents complimented the various <br />activities such as painting, bingo, and church in <br />the community hall on Sundays. <br /> <br />16. Residents have the freedom to leave the <br />facility throughout the day. <br /> <br />Residents have the option of installing a lock on <br />their closet door to protect and secure personal <br />items. <br />16. Do residents have the opp ortunity to purchase personal items of <br />their choice using their monthly needs funds? <br />Can residents access their monthly needs funds at their <br />convenience? <br />Yes <br /> <br />Yes <br />17. Are residents asked their preferences about meal /snack choices? <br />Are they given a choice about where they prefer to dine? <br />No <br />Yes <br />18. Do residents have privacy in making and receiving phone calls? Yes <br />19. Is there evidence of community involvement from other c ivic, <br />volunteer or religious groups? <br />Yes <br />20. Does the facility have a Resident’s Council? <br />Family Council? <br />Yes <br />No