Adorable Senior Living 2023-09-05

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Community Advisory Committee Quarterly/Annual Visitation Report County: ORANGE Facility Type: Facility Name/Address: ❑Family Care Home ❑Nursing Home Adorable Senior Living ZAdult Care Home 401 West Queen St, Hillsborough, NC 27278 Visit Date: 9/5/2023 Time spent in facility: 1.5 hr Arrival time: 9:30 ❑x am ❑pm Name of person exit interview was held with: Interview was held: ❑x in Person ❑Phone ❑Admin. ❑x SIC(Supervisor in Charge) ❑Other Staff Rep. Maria Martin Committee Members Present: Jackie Podger; MaryLou Gelblum Report Completed by: Shade Little Number of Residents who received personal visits from committee members:2 Resident Rights Information is clearly visible: Z Yes❑No Ombudsman Contact Info is correct and clear) posted: Z Yes❑No The most recent survey was readily accessible: ❑Yes❑No Staffing information clearly posted: ❑x Yes❑No (Required for Nursin Homes Onl Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat,clean and odor free? y A number of residents are on hospice.Most others were 2. Did residents say they receive assistance with personal care activities? engaged with staff in the dining/living area.All were seen Ex.brushing their teeth, combing their hair, inserting dentures or NA being attended to in a caring,personal manner.No restraints cleaning their eyeglasses? were observed. 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 =so,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? NA Bedrooms are small and many have more than one bed,but 2. Did you notice unpleasant odors in commonly used areas? N rooms were tidy and personalized.All have windows,were 3. Did you see items that could cause harm or be hazardous? N clean and with no unpleasant odors. 4. Did residents feel their living areas were too noisy? NA 5. Does the facility accommodate smokers? y Where?❑x 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 '/NA Comments/Other Observations 1. Were residents asked their preferences or opinions about the N Most residents do not have access to money due to diagnoses activities planned for them at the facility? of dementia or intellectual delays.Staff do try and determine resident likes and dislikes,and have encouraged 2. Do residents have the opportunity to purchase personal items of NA collaborations with local churches,a sorority and a fraternity, their choice using their monthly needs funds? to provide materials and entertainment on a regular basis. Can residents access their monthly needs funds at their NA Staff prides themselves on serving healthy and delicious convenience? meals.One resident has a private phone with family members 3. Are residents asked their preferences about meal/snack choices? N on speed dial. Are they given a choice about where they prefer to dine? N 4. Do residents have privacy in making and receiving hone calls? NA 5. Is there evidence of community involvement from other civic, Y volunteer or religious groups? 6. Does the facility have a Resident's Council? NA 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.