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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Family Care Home Nursing Home x Adult Care Home Facility Name/Address: The Stratford, 405 Smith Level Road, Chapel Hill, NC 27516 Visit Date: 11 / 01 / 2018 Time spent in facility: 1 hr 15 min Arrival time: 1:00 am x pm Name of person exit interview was held with: Interview was held: x in Person Phone x Admin. SIC (Supervisor in Charge) Other Staff Rep. (Name & Title)Christian Smith Committee members present: Nancy McCormick, Gloria Brown Report complete by Nancy McCormick Number of Residents who received personal visits from committee members: 7 Resident Rights Information is clearly visable: x Yes No Ombudsman Contact Info is correct and clearly posted: Yes No x The most recent survey was readily accessible: Yes No (Required for Nursing Homes Only) Staffing information clearly posted: Yes No x Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat, clean and odor free? Yes 4. Administrator said that staff had been issued name badges, but most were not wearing them. 5.Staff seemed to be interacting better with residents than the last time we were there. 2. Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair, inserting dentures or cleaning their eyeglasses? N/A 3. Did you see or hear residents being encouraged to participate in their care by staff members? Yes 4. Were residents interacting with staff, other residents & visitors? Yes 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? Yes 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? No Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? N/A 8. Residents did not describe the living environment, but we observed rooms that were furnished with personal items. In the Alzheimer’s wing each resident had a shadow box with personal items. They are continuing to work on the air conditioning system for the dining room. The facility lost power during Matthew but they had generators—they were prepared because of Florence. 9. Did you notice unpleasant odors in commonly used areas? No 10. Did you see items that could cause harm or be hazardous? No 11. Did residents feel their living areas were too noisy? No 12. Does the facility accommodate smokers? Where? x Outside only Inside only Both Inside/Outside 13. Were residents able to reach their call bells with ease? N/A 14. Did staff answer call bells in a timely & courteous manner? If no, did you share this with the administrative staff? N/A Resident Services Yes/No/NA Comments/Other Observations