Adorable Senior Living 2023-05-09

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Com unity Advisory Committee Quarterly/Annual Visitation Report County: ORANGE Facility Type: Facility Name/Address: ®Family Care Home ❑Nursing Home Adorable Senior Living ❑Adult Care Home 401 West Queen St, Hillsborough, NC 27278 Visit Date: 5/9/2023 Timespent in facilit 1 hr Arrival time: 12:10 ❑ am ® pm Name of person exit interview was held with: Interview was held: ® in Person ❑ Phone ❑Admin. ® SIC Supervisor in Charge) ❑ Other Staff Rep. Sandra 0 bnna Committee Members Present: Karen Green-McElveen; MaryLou Gelblum Report Completed by: Shade Little Number of Residents who received personal visits from committee members: 10 Resident Rights Information is clearly visible: ® Yes❑ No Ombudsman Contact Info is correct and clearly posted: ®Yes ❑ No The most recent survey was readily accessible: ❑Yes ❑ No Staffing information clearly posted: ®Yes ❑ No Re uired for Nursing Homes Onl Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat,clean and odor free? Y The staff reported that 100% of the clients(10 2. Did residents say they receive assistance with personal care activities? here, max 17) have some dementia, but we still Ex.brushing their teeth, combing their hair, inserting dentures or cleaning NA had decent conversations with those we talked their eyeglasses? with. 3. Did you see or hear residents being encouraged to participate in y their care by staff members? 4. Were residents interacting with staff,other residents&visitors? Y 5. Did staff respond to or interact with residents who had difficulty y communicating or making their needs known verbally? 6. Did you observe restraints in use? N 7. If so,did you ask staff about the facility's restraint policies? NA Resident Living Accommodations Yes/No/NA Comments/Other Observations 1. Did residents describe their living environment as homelike? Y 2. Did you notice unpleasant odors in commonly used areas? N 3. Did you see items that could cause harm or be hazardous? N 4. Did residents feel their living areas were too noisy? NA 5. Does the facility accommodate smokers? Y Where? ® Outside only❑ Inside only❑ Both Inside/Outside 6. Were residents able to reach their call bells with ease? NA 7. Did staff answer call bells in a timely&courteous manner? NA If no, did you share this with the administrative staff? Resident • • Observations 1. Were residents asked their preferences or opinions about the N Everything has been planned and set for these activities planned for them at the facility? residents. 2. Do residents have the opportunity to purchase personal items of NA their choice using their monthly needs funds? Can residents access their monthly needs funds at their NA convenience? 3. Are residents asked their preferences about meal/snack choices? N Snacks are placed out for the residents. Are they given a choice about where they prefer to dine? N Three hot meals daily. 4. Do residents have privacy in making and receiving hone calls? NA 5. Is there evidence of community involvement from other civic, Y A local church visits regularly. At least one volunteer or religious rou s? resident has regular family visits. A volunteer 6. Does the facility have a Resident's Council? NA activity person comes by twice a week. Family Council? Areas of • • /NA Exit Summary Are there resident issues or topics that need follow-up or review at a later N time or during the next visit? his Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form. Bottom Copy is for the CAC's Records.