Orange County NC Website
Browse       Search
<br /> <br />Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br />Family Care Home Nursing Home X <br />Adult Care Home Combination Home <br />Facility Name/Address: Signature Healthcare of Chapel Hill <br />1602 E Franklin St, Chapel Hill, NC 27514 <br />Visit Date: 09/11/2018 Time spent in facility: 1 hr 10 min Arrival time: 4:30pm <br />Name of person exit interview was held with: Onjaleka White-Franks, DON Interview was held: in Person X <br /> <br />Committee Members Present: Stephanie Boswell, Vibeke Talley <br /> <br /> Report Completed by: Vibeke Talley <br />Number of Residents who received personal visits from committee members: 5 <br />Resident Rights Information is clearly visible: Yes X No Ombudsman Contact Info is correct and clearly posted: Yes X No <br />The most recent survey was readily accessible: Yes X No <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: Yes X 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? NA <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? NA <br />6. Did you observe restraints in use? No <br />7. If so, did you ask staff about the facility’s restraint policies? <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />8. Did residents describe their living environment as homelike? NA <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* 10: One door to a bio-hazard trash storage room <br />was left unlocked. <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 />Outside <br />only <br /> <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? <br />If no, did you share this with the administrative staff? <br /> Yes <br /> <br />