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Carol Woods 2018-10-29
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Carol Woods 2018-10-29
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<br /> <br />Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br />Family Care Home X Nursing Home <br />Adult Care Home Combination Home <br />Facility Name/Address: Carol Woods, 750 Weaver Dairy Road, <br />Chapel Hill, NC 27514 <br />Visit Date: 10/29/18 Time spent in facility: 1 hr 10 min Arrival time: 10:00 X am pm <br />Name of person exit interview was held with: Interview was held: X in Person Phone <br /> Admin. SIC (Supervisor in Charge) X Other Staff Rep. Debbie Every, Nursing Engagement Coach <br />Committee Members Present: Jackie Podger, Molly Stein, Susie Deter <br /> <br /> Report Completed by: Susie Deter <br />Number of Residents who received personal visits from committee members: 8 residents & 1 family member <br />Resident Rights Information is clearly visable: X Yes No Ombudsman Contact Info is correct and clearly posted: X Yes No <br />The most recent survey was readily accessible: X Yes No <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: X Yes No <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1. Do the residents appear neat, clean and odor free? Yes <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 /> <br />3. Did you see or hear residents being encouraged to participate in <br />their care by staff members? Yes <br />4. Were residents interacting with staff, other residents & visitors? Yes <br />5. Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? Yes <br />6. Did you observe restraints in use? N/A <br />7. If so, did you ask staff about the facility’s restraint policies? N/A <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />8. Did residents describe their living environment as homelike? Yes* 8.* One resident stated that she felt like she was <br />in jail. When queried, she wished that she could <br />eat her meals with others. Even in the pod dining <br />room she eats alone, and would like to interact <br />with others. <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? No * 10. One soiled linen closet door left ajar. <br />11. Did residents feel their living areas were too noisy? No <br />12. Does the facility accommodate smokers? <br />Where? X Outside only Inside only Both Inside/Outside <br />Yes <br />13. Were residents able to reach their call bells with ease? Yes * 13. One resident wished she could have a call <br />bell on her person/around her neck. Discussed <br />with Nursing Engagement Coach who did not <br />know of any regulations preventing this. <br />14. Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br />Yes <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 <br />16. Do residents have the opportunity 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 />N/A <br />N/A <br /> <br />17. Are residents asked their preferences about meal/snack choices? <br />Are they given a choice about where they prefer to dine? <br />Yes* <br />Yes <br />17. One resident stated that the food is becoming <br />worse. He said the problem is in the preparation, <br />and it is inedible. He is supposed to gain weight <br />but cannot because he can’t eat the food.
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