Crescent Green 2019-03-04 - Laserfiche WebLink

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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Family Care Home Nursing Home Adult Care Home x Facility Name/Address: Crescent Green 624 Jones Ferry Road Carrboro NC Visit Date: 3 / 14 / 19 Time spent in facility: 1 hr 20 min Arrival time: 6:00 pm Name of person exit interview was held with: Juliette Nesmith Interview was held: in Person Phone Admin. SIC (Supervisor in Charge) Other Staff Rep. (Name & Title) Committee Members Present: Allison Brown, Tiketha Collins Report Completed by: Tiketha Number of Residents who received personal visits from committee members: 3 Resident Rights Information is clearly visible: Yes Ombudsman Contact Info is correct and clearly posted: Yes The most recent survey was readily accessible: Yes No (Required for Nursing Homes Only) n/a Staffing information clearly posted: Yes No n/a Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat, clean and odor free? yes 2. Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair, inserting dentures or cleaning their eyeglasses? yes 3. Did you see or hear residents being encouraged to participate in their care by staff members? n/a 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? 6. Did you observe restraints in use? no 7. If so, did you ask staff about the facility’s restraint policies? Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? yes 9. Did you notice unpleasant odors in commonly used areas? yes Odor in the shower room 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? Outside only Inside only Both Inside/Outside yes Outside area with limited seating for those ambulating 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? Resident Services Yes/No/NA Comments/Other Observations 15. Were residents asked their preferences or opinions about the activities planned for them at the facility? yes 16. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? Can residents access their monthly needs funds at their convenience? yes yes Concern was expressed for one resident by another resident that her funds were not always available. 17. Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? no yes 18. Do residents have privacy in making and receiving phone calls? yes 19. Is there evidence of community involvement from other civic, volunteer or religious groups? 20. Does the facility have a Resident’s Council? Family Council? no Areas of Concern Yes/No/NA Exit Summary Are there resident issues or topics that need follow-up or review at a later time or during the next visit? no Discuss items from “Areas of Concern” Section as well as any changes observed during the visit This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.