Orange County NC Website
Community Advisory Committee Quarterly/Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address: Peak Resources Brookshire, <br /> Hillsborough, NC <br /> ❑Family Care Home X Nursing Home <br /> ❑Adult Care Home ❑Combination Home <br /> Visit Date 05/2/23 Time spent in facility: 1 hr 15 min Arrival time: 10:45 <br /> Name of person exit interview was held with: Dereck Hammond Interview was held: X in Person <br /> X Admin. SIC(Supervisor in Charge) Other Staff Rep. (Name& Title) <br /> Committee Members Present: Carol Kelly, Vibeke Talley, and Shade Report Completed by: Carol Kelly <br /> Little <br /> Number of Residents who received personal visits from committee members: 9 residents and 2 family members <br /> Resident Rights Information is clearly visible: Yes Ombudsman Contact Info is correct and clearly posted: Yes <br /> The most recent survey was readily Staffing information clearly posted: Yes <br /> accessible: Yes (Required for Nursing Homes Only) <br /> Resident Profile Yes/No/NA Comments/Other Observations <br /> 1. Do the residents appear neat, clean and odor free? <br /> Yes <br /> 2. Did residents say they receive assistance with personal <br /> care activities?Ex. brushing their teeth, combing their <br /> hair, inserting dentures or cleaning their eyeglasses? Yes <br /> 3. Did you see or hear residents being encouraged to Yes <br /> participate in their care by staff members? <br /> 4. Were residents interacting with staff, other residents& Yes* Staff appeared attentive to needs and they <br /> visitors? were described as friendly and having a <br /> positive attitude. <br /> 5. Did staff respond to or interact with residents who had <br /> difficulty communicating or making their needs known NA <br /> verbally? <br /> 6. Did you observe restraints in use? <br /> No <br /> 7. If so, did you ask staff about the facility's restraint <br /> policies? NA <br /> Comments/OtherResident Living Accommodations Yes/No/NA Observations <br />