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Community Advisory Committee Quarterly/Annual Visitation Report <br />County: ORANGE Facility Type: <br />Family Care Home Nursing Home <br />XX Adult Care Home <br />Facility Name/Address: Carol Woods <br />750 Weaver Dairy Rd <br />Chapel Hill NC 27516 <br /> <br />Visit Date: 03/12 /19 Time spent in facility: 1 hr 0 min Arrival time: 2:15 pm <br />Name of person exit interview was held with: Bethany Beale, Interview was held: xx in Person <br /> Admin. Assisted Living Coordinator <br />Committee Members Present: Yvonne Mendenhall, Nancy McCormick, Shade Little <br /> <br /> Report Completed by: Yvonne Mendenhall <br />Number of Residents who received personal visits from committee members: 4 <br />Resident Rights Information is clearly visible: XX Yes Ombudsman Contact Info is correct and clearly posted: XX Ye (One of the <br />postings was updated with contact information by a CAC member while on <br />site. <br />The most recent survey was readily accessible: Yes No <br />(Required for Nursing Homes Only) N/A <br />Staffing information clearly posted: XX Yes <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1. Do the residents appear neat, clean and odor free? YES 1-Outstanding <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? <br />YES <br />4-A group had formed in the lounge area and was <br />engaged in a lively discussion with visitors and <br />staff <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? NO <br />7. If so, did you ask staff about the facility’s restraint policies? NA <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />8. Did residents describe their living environment as homelike? YES <br />9. Did you notice unpleasant odors in commonly used areas? NO 9-It is a beautiful facility warm and comfortable <br />and very clean <br />10. Did you see items that could cause harm or be hazardous? NO <br />11. Did residents feel their living areas were too noisy? NO 10-It is very quiet in the Assisted Living areas <br />12. Does the facility accommodate smokers? <br />Where? Outside only Inside only Both Inside/Outside <br /> 12-No smokers were observed at this visit <br />13. Were residents able to reach their call bells with ease? YES 13-Personal “alarm callers” are worn by most <br />residents <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 />NA <br />14-No alarms were heard at this visit <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 are actively involved in their <br />activities and programs <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 />YES <br /> <br />YES <br />16-There is a resident refrigerator in the facilities <br />where residents can request specific food <br />purchases. The items are ordered online and <br />delivered. The food is labeled and can be <br />accessed by residents who can also do some <br />simple cooking for themselves. <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-The dining areas have several spaces for <br />dining, even outdoors, on sunroom type settings. <br />18. Do residents have privacy in making and receiving phone calls? YES <br />19. Is there evidence of community involvement from other civic, <br />volunteer or religious groups? <br />YES 19-There is considerable community involvement <br />and community is even invited to some of their <br />programs and lectures.