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Carol Woods 2023-05-30
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Carol Woods 2023-05-30
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8/21/2023 10:45:16 AM
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8/21/2023 10:44:53 AM
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BOCC
Date
5/30/2023
Document Type
Reports
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Comm unit Advisory Committee Quarterly/Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address: <br /> ❑Family Care Home ®Nursing Home Carol Woods <br /> ❑Adult Care Home 750 Weaver Dairy Rd, Chapel Hill, NC 27514 <br /> Visit Date: 05/30/2023 Time spent in facility: hr 40 min Arrival time: 03:05 ❑ am ® pm <br /> Name of person exit interview was held with:Jessica Fine Interview was held: ® in Person ❑ Phone <br /> ®Admin. ❑ SIC(Supervisor in Charge) ❑ Other Staff Rep. Name& Title <br /> Committee Members Present: Shade Little, Kelly Kester, Jackie Podger Report Completed by: Kelly Kester <br /> Number of Residents who received personal visits from committee members: 6 <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: ❑Yes ® No Staffing information clearly posted: ®Yes ❑ No <br /> (Required for Nursinq Homes Onl <br /> Resident • • Comments/Other <br /> Observations <br /> 1. Do the residents appear neat, clean and odor free? Y <br /> 2. Did residents say they receive assistance with personal care <br /> activities? Ex. brushing their teeth, combing their hair, inserting Y <br /> dentures or cleaning their eyeglasses? <br /> 3. Did you see or hear residents being encouraged to participate in Y <br /> their care by staff members? <br /> 4. Were residents interacting with staff, other residents&visitors? Physical therapist observed returning resident <br /> back to room after therapy.Therapist was <br /> Y very kind, respectful,and ensured that the <br /> resident was safe and comfortable prior to <br /> leaving the room. <br /> 5. Did staff respond to or interact with residents who had difficulty Y <br /> communicating or making their needs known verbally? <br /> 6. Did you observe restraints in use? N <br /> 7. If so, did you ask staff about the facility's restraint policies? N/A <br /> Resident Living Accommodations Yes/No/NA Comments/Other <br /> Observations <br /> 8. Did residents describe their living environment as homelike? Y <br /> 9. Did you notice unpleasant odors in commonly used areas? N <br /> 10. Did you see items that could cause harm or be hazardous? N <br /> 11. Did residents feel their living areas were too noisy? N <br /> 12. Does the facility accommodate smokers? N/A <br /> Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside <br /> 13. Were residents able to reach their call bells with ease? Y All residents with call bell in reach, including <br /> appropriate use of push button cords and <br /> geriatric cords. <br /> 14. Did staff answer call bells in a timely&courteous manner? Y Residents shared that they experience a <br /> If no, did you share this with the administrative staff? quick response regardless of the time of day <br /> when they use their call bell. <br /> Resident ' Comments/Other <br /> lObservations <br /> 15. Were residents asked their preferences or opinions about the Y Resident reviewing flyer for ice cream outing <br /> activities planned for them at the facility? that was given to her in her room. She <br /> expressed satisfaction with trips to <br /> restaurants and museums. <br /> 16. Do residents have the opportunity to purchase personal items of Y <br /> their choice using their monthly needs funds? <br /> Can residents access their monthly needs funds at their Y <br /> convenience? <br />
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