Orange County NC Website
Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br />X Family Care Home Nursing Home <br />Adult Care Home <br />Facility Name/Address: Cedar Grove Family Care Home <br />403 Saw Mill Rd Cedar Grove NC 27231 <br /> <br />Visit Date: 8 / 17 / 19 Time spent in facility: hr. 45 min Arrival time: 1:45 am X pm <br />Name of person exit interview was held with: Betsy Collins, Co-owner Interview was held: X in Person Phone <br /> Admin. SIC (Supervisor in Charge) Other Staff Rep. Sister Anna <br />Committee Members Present: Gloria Brown and Joan Rehm <br /> <br /> Report Completed by: Gloria Brown <br />Number of Residents who received personal visits from committee members: 10 <br />Resident Rights Information is clearly visible: Yes No Ombudsman Contact Info is correct and clearly posted: Yes No <br />The most recent survey was readily accessible: NA Yes No <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: No Yes Emergency Information is <br />clearly posted <br /> Resident Profile Yes/No/NA Comments/Other <br />Observations <br />1. Do the residents appear neat, clean and odor free? <br />Yes <br />1) Some were sitting on the front porch, <br />1 kitchen eating, some in their rooms <br />watching their TVs. <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? <br />Yes <br />4) On my visits I have observed that the <br />residents are respectful of others space and <br />like interacting with visitors. <br />5. Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? Yes <br />5) On our way out one resident was wanting <br />a soda. Betsy hear her and replied I will see <br />what I can do. <br />6. Did you observe restraints in use? No <br />7. If so, did you ask staff about the facility’s restraint policies? NA <br />Resident Living Accommodations Yes/No/NA Comments/Other <br />Observations <br />8. Did residents describe their living environment as homelike? Yes 8. Each has their own beg and some of their <br />personal belongings. <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 11) There are many space for a change of <br />environment is desired. <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? NA <br />14. Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br />NA <br />NA <br /> <br />Resident Services Yes/No/NA Comments/Other <br />Observations <br />15. Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />Yes 15. They discuss where they would like to go to <br />shop, eat out or attend comm. Events in area. <br /> <br />16. Do residents have the opportunity to purchase personal items of <br />their choice using their monthly needs funds? <br />Can residents access their monthly needs funds at their <br />convenience? <br />Yes <br /> <br />Yes <br /> <br />17. Are residents asked their preferences about meal/snack choices? <br />Are they given a choice about where they prefer to dine? <br />No <br />No <br />17. Snack gets a choice sometimes. <br />18. Do residents have privacy in making and receiving phone calls? Yes