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Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br />Family Care Home Nursing Home <br />X Adult Care Home <br />Facility Name/Address: Carillon <br />1911 Orange Grove Rd <br />Hillsborough NC 27278 <br />?? enrolled 96 licensed and 24 in Memory Care <br />Visit Date: 8/17/2019 Time spent in facility: 1 hr. Arrival time: 11:20 a.m. <br />Name of person exit interview was held with: Deborah __________________ , Director of Memory Care Interview was held: x in Person <br />(Name & Title) <br />Committee Members Present: Gloria Brown, Bill Morgan, Joan Rehm <br /> <br /> Report Completed by: Joan Rehm <br />Number of Residents who received personal visits from committee members: 10 - 12 <br />Resident Rights Information is clearly visible: X Yes Ombudsman Contact Info is clearly posted; need to correct Autumn Cox’s <br />name <br />The most recent survey was readily accessible: Yes No <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: No <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1. Do the residents appear neat, clean and odor free? <br />Yes <br />All the residents appeared neat, clean, and odor <br />free. In the Memory Care unit, the residents were <br />gathering for lunch in the dining room and most <br />sat with other residents; staff nicely attending to <br />each. Resident rooms appeared nicely kept with <br />beds made. In the main dining room, residents <br />were greeted individually by staff as they arrived <br />and asked about food preferences. Some <br />residents were interacting with one another at <br />tables; other sat by themselves. Again, resident <br />rooms appeared nicely kept. Hallways bright with <br />attention to sensory stimulation – bright signs, <br />posters, announcements, etc. <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? Yes <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? No <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />8. Did residents describe their living environment as homelike? Yes Residents expressed pleasure in living in this <br />environment and that needs were being met. <br />Today’s meal menu was in large type and placed <br />low enough on the wall that it would have been <br />easily readable from a wheel chair. <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 <br />12. Does the facility accommodate smokers? <br />Where? Outside only Inside only Both Inside/Outside <br />No <br />13. Were residents able to reach their call bells with ease? Yes Saw several residents wearing call buttons.