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<br /> <br /> <br /> Community Advisory Committee Quarterly/Annual Visitation Report <br />County:Orange Facility Type: <br />☐Family Care Home X Nursing Home <br />☐Adult Care Home ☐Combination Home <br />Facility Name/Address: Parkview Health and Rehabilitation <br />Center, 1716 Legion Drive, Chapel Hill, NC 27516 <br /> <br />Visit Date 08/23/2019 Time spent in facility: 1 hr 15 min Arrival time: 9:00 X am ☐ pm <br />Name of person exit interview was held with: Interview was held: X in Person ☐ Phone <br />☐X Admin. SIC (Supervisor in Charge) ☐ Other Staff Rep. (Name & Title) Stephen Swanson, Administrator <br />Committee Members Present: Vibeke Talley, Stephanie Boswell, Martha Bell <br /> <br /> Report Completed by: Vibeke Talley <br />Number of Residents who received personal visits from committee members: 9 <br />Resident Rights Information is clearly visible: X Yes Ombudsman Contact Info is correct and clearly posted: X Yes <br />The most recent survey was readily accessible: X Yes* <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: X Yes <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1. Do the residents appear neat, clean and odor free? Yes <br />2. Did residents say they receive assistance with personal care <br />activities? Ex. brushing their teeth, combing their hair, <br />inserting dentures or cleaning their eyeglasses? <br />Yes <br /> <br />3. Did you see or hear residents being encouraged to <br />participate in their care by staff members? N/A . <br />4. Were residents interacting with staff, other residents & <br />visitors? Yes <br />5. Did staff respond to or interact with residents who had <br />difficulty communicating or making their needs known <br />verbally? <br /> N/A <br /> <br />6. Did you observe restraints in use? No <br />7. If so, did you ask staff about the facility’s restraint policies? <br />Resident Living Accommodations Yes/No/N <br />A <br /> Comments/Other Observations <br />8. Did residents describe their living environment as <br />homelike? <br /> Yes <br />9. Did you notice unpleasant odors in commonly used areas? No <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 .