Carol Woods 2019-04-30 - Laserfiche WebLink

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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Facility Name/Address: Carol Woods Family Care Home X Nursing Home 750 Weaver Dairy Road, Chapel Hill, NC 27514 Adult Care Home Combination Home Visit Date: 4/30/19 Time spent in facility: 1 hr. 30 min. Arrival time: 1:30 am X pm Name of person exit interview was held with: Interview was held: X in Person Phone Admin. SIC(Supervisor in Charge) X Other Staff Rep.—Colleen Wenher, RN Committee Members Present: Bill Morgan, Susie Deter Report Completed by: Susie Deter Number of Residents who received personal visits from committee members:4 residents&2 family members Resident Rights Information is clearly visible: X Yes No Ombudsman Contact Info is correct and clearly posted: X Yes No The most recent survey was readily accessible:X Yes No Staffing information clearly posted: X Yes N (Required for Nursing Homes Only) 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 Yes dentures or cleaning their eyeglasses? 3. Did you see or hear residents being encouraged to participate in Yes their care by staff members? 4. Were residents interacting with staff,other residents&visitors? Yes 5. Did staff respond to or interact with residents who had difficulty Yes communicating or making their needs known verbally? F----------- 6. Did you observe restraints in use? N/A* 6. Carol Woods is a restraint free facility. 7. If so, did you ask staff about the facility's restraint policies? N/A Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? Yes F----------- 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? Yes Where?X Outside only Inside only Both Inside/Outside ----------- 13. Were residents able to reach their call bells with ease? Yes F----------- 14. Did staff answer call bells in a timely&courteous manner? No* 14. One resident reported that call response If no, did you share this with the administrative staff? times were sometimes slow during the night. Resident • • Observations 15. Were residents asked their preferences or opinions about the Yes activities planned for them at the facility? 16. Do residents have the opportunity to purchase personal items of N/A 17. One resident&family member stated that their choice using their monthly needs funds? while there were 2 choices for meals, at times the Can residents access their monthly needs funds at their choices were so similar(e.g., hot dog or convenience? sandwich),that there was not a real choice. 17. Are residents asked their preferences about meal/snack choices? Yes* Are they given a choice about where they prefer to dine? Yes 18. Do residents have privacy in making and receiving phone calls? Yes 19. Is there evidence of community involvement from other civic, Yes 20. Since most residents are also living within the volunteer or religious groups? greater Carol Woods community, the general councils are considered to take the place of the Family Council. 20. Does the facility have a Resident's Council? Yes Family Council? No*