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Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange County Facility Type: <br />Adult Care Home <br />Family Care Home Nursing Home <br />Facility Name/Address: Crescent Green Census: 78/120 <br /> 624 Jones Ferry Rd, Carrboro, NC 27510 <br />Visit Date: 07 / 03 / 2019 Time spent in facility: 0 hr 50 min Arrival time: 8:50 am pm <br />Name of person exit interview was held with: Jennifer Interview was held: in Person Phone <br /> Admin. SIC (Supervisor in Charge) Other Staff Rep. Doris Coleman (Name & Title) <br />Committee Members Present: Michael Zuber, Joan Rehm Report Completed by: Michael Zuber <br />Number of Residents who received personal visits from committee members: 8 <br />Resident Rights Information is clearly visable: Yes No Ombudsman Contact Info is correct and clearly posted: Yes No <br />The most recent survey was readily accessible: Yes No <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: Yes No <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1. Do the residents appear neat, clean and odor free? Yes <br />1. Upon our arrival, the staff were diligently <br />working to feed residents and keep them clean. <br /> <br />3. We witnessed residents being assisted by staff <br />outside to enjoy fresh air and exercise. <br /> <br /> <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 />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? <br />N/A <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />8. Did residents describe their living environment as homelike? Yes <br />8. Residents decorated their rooms with personal <br />items and pictures. The facility appeared clean <br />and odor free. <br /> <br />9. Chemicals were not accessible to residents. <br />Rooms were being cleaned and all chemicals <br />were monitored by staff. <br /> <br /> <br />8. Did you notice unpleasant odors in commonly used areas? No <br />9. Did you see items that could cause harm or be hazardous? No <br />10. Did residents feel their living areas were too noisy? No <br />11. Does the facility accommodate smokers? <br />Where? Outside only Inside only Both Inside/Outside <br />Yes <br />12. Were residents able to reach their call bells with ease? N/A <br />13. Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br />N/A <br />N/A <br />Resident Services Yes/No/NA Comments/Other Observations <br />14. Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />Yes <br />16. Residents have the freedom to leave the <br />facility throughout the day. <br /> <br />Residents have the option of installing a lock on <br />their closet door to protect and secure personal <br />items. <br /> <br />18. A private room for making phone calls is <br />available near the community T.V. rooms. <br />15. 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 />16. Are residents asked their preferences about meal/snack choices? <br />Are they given a choice about where they prefer to dine? <br />Yes <br />Yes <br />17. Do residents have privacy in making and receiving phone calls? Yes <br />18. Is there evidence of community involvement from other civic, <br />volunteer or religious groups? <br />No <br />19. Does the facility have a Resident’s Council? <br />Family Council? <br />Yes <br />No