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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: ☐Family Care Home X Nursing Home ☐Adult Care Home ☐Combination Home Facility Name/Address: Parkview Health and Rehabilitation Center, 1716 Legion Drive, Chapel Hill, NC 27516 Visit Date5/18/2019 Time spent in facility: 1 hr min Arrival time: 10:00 X am ☐ pm Name of person exit interview was held with: Interview was held: X in Person ☐ Phone ☐ Admin. X SIC (Supervisor in Charge) ☐ Other Staff Rep. (Name & Title) Joshua Selly, RN Committee Members Present: Vibeke Talley, Stephanie Boswell, Martha Bell Report Completed by: Martha Bell Number of Residents who received personal visits from committee members 10 (plus one family member and the Hospice Chaplain) Resident Rights Information is clearly visible: X Yes Ombudsman Contact Info is correct and clearly posted: X Yes The most recent survey was readily accessible: X Yes* (Required for Nursing Homes Only) Staffing information clearly posted: X Yes 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 Several wheelchair mobile residents seen sitting in front of a TV; no staff w/them; another single resident alone with food, but was visited by staff member who helped him back to his room when resident requested 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? NA 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/N A Comments/Other Observations 8. Did residents describe their living environment as homelike? Yes Comment from resident; it’s comfortable but not enough room 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? ☐ Outside only ☐ Inside only ☐ Both Inside/Outside No 13. Were residents able to reach their call bells with ease? No One resident was heard crying out for help because of incontinence; unable to reach call light dangling from bed rail; committee member found staff member making a bed and when asked to attend to resident A, seemed puzzled why resident A