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Community Advisory Committee Quarterly/Annual Visitation Report <br /> County: Orange Facility Type:Nursing Facility Name/Address: Peak Resources <br /> Home Brookshire, Hillsborough, NC <br /> Visit Date: Time spent in facility: 1 '/2 Arrival time: 11:00 a.m. <br /> 10/14/2022 hours <br /> Name of person exit interview was held with: Dereck Hammond, Administrator <br /> Interview was held: in Person Phone <br /> Committee Members Present: Carol Kelly and Vibeke Report Completed by: Carol <br /> Talley Kelly <br /> Number of Residents who received personal visits from committee members: 8 <br /> Resident Rights Information is clearly Ombudsman Contact Info is correct and clearly <br /> visible: x Yes posted: Yes <br /> The most recent survey was readily Staffing information clearly posted: Yes <br /> accessible: x Yes <br /> (Required for Nursing Homes Only) <br /> Resident Profile • Comments/Other <br /> Observations <br /> Do the residents appear neat, clean and <br /> odor free? yes <br /> 2. Did residents say they receive assistance <br /> with personal care activities? Ex. brushing their yes <br /> teeth, combing their hair, inserting dentures or <br /> cleaning their eyeglasses? <br /> 3. Did you see or hear residents being <br /> encouraged to participate in their care by staff yes <br /> members? <br /> 4. Were residents interacting with staff, <br /> other residents & visitors? yes <br /> 5. Did staff respond to or interact with <br /> residents who had difficulty communicating or yes <br /> making their needs known verbally? <br /> 6. Did you observe restraints in use? no No restraint facility <br /> 7. If so, did you ask staff about the facility's <br /> restraint policies? NA <br /> Resident Living Accommodations Yes/No Comments/Other <br /> Observations <br /> 8.Did residents describe their living yes <br /> environment as homelike? <br />