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Community Advisory Committee Quarterly/Annual Visitation Report <br />County: ORANGE Facility Type: <br />Family Care Home Nursing Home <br />Adult Care Home <br />Facility Name/Address:       <br />TerraBella Hillsborough (Elmcroft; Carillon) <br />1911 Orange Grove Rd Hillsborough, NC 27278 <br />Visit Date: 9/5/2023 Time spent in facility: 40 min Arrival time: 11:10 am pm <br />Name of person exit interview was held with:       Interview was held: in Person Phone <br /> Admin. SIC (Supervisor in Charge) Other Staff Rep.       Jeniver Palmisano, director <br />Committee Members Present: Jackie Podger; MaryLou Gelblum Report Completed by: Shade Little <br />Number of Residents who received personal visits from committee members: 3 <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 <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: Yes No <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1.Do the residents appear neat, clean and odor free?   Y   Residents were found in rockers on the front porch, in the <br />hallways chatting, in the Activity Room, and many were found <br />sitting in their rooms, some watching TV, some reading. <br />Residents appeared neat and clean and no restraints were <br />observed. <br />2.Did residents say they receive assistance with personal care <br />activities? Ex. brushing their teeth, combing their hair, inserting <br />dentures or cleaning their eyeglasses? <br />NA <br />3.Did you see or hear residents being encouraged to participate in <br />their care by staff members?Y <br />4.Were residents interacting with staff, other residents & visitors?Y <br />5.Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally?Y <br />6.Did you observe restraints in use?N <br />7.If so, did you ask staff about the facility’s restraint policies? NA <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />1.Did residents describe their living environment as homelike?Y Some residents stated they were happy and pleased with <br />accommodations. As many said they were bored. All rooms <br />were large, clean and tidy with personalized items such as <br />comfortable chairs. Little staff interaction was noted except in <br />the Memory Care Unit, where in particular the Manager was <br />seen interacting and caring for many. Residents there looked <br />well-cared for, and a plus was a lovely outdoor flower and <br />garden space tended in part by residents. <br />2.Did you notice unpleasant odors in commonly used areas?N <br />3.Did you see items that could cause harm or be hazardous?N <br />4.Did residents feel their living areas were too noisy?NA <br />5.Does the facility accommodate smokers? <br />Where? Outside only Inside only Both Inside/Outside <br />Y <br />6.Were residents able to reach their call bells with ease?NA <br />7.Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br />NA <br />      <br />Resident Services Yes/No/NA Comments/Other Observations <br />1.Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />Y A number of residents mentioned boredom or wishing to be <br />home. However, activities are available. It is not known if they <br />are encouraged. There does not appear to be much in-house <br />community involvement, though residents can attend activities <br />at the Snow Foundation, or participate in shopping. The <br />Director said there continues to be a Resident Council <br />however an administrator attends those meetings (somewhat <br />defeating the purpose).They have also appointed Hall <br />Monitors who collect information from residents who choose <br />not to attend. <br />2.Do residents have the opportunity to purchase personal items of <br />their choice using their monthly needs funds? <br />Can residents access their monthly needs funds at their <br />convenience? <br />NA <br />NA <br />3.Are residents asked their preferences about meal/snack choices? <br />Are they given a choice about where they prefer to dine? <br />N <br />N <br />4.Do residents have privacy in making and receiving phone calls?NA <br />5.Is there evidence of community involvement from other civic, <br />volunteer or religious groups? <br />Y <br />6.Does the facility have a Resident’s Council? <br />Family Council? <br />Y <br />      <br /> Areas of Concern Yes/No/NA Exit Summary <br />Are there resident issues or topics that need follow-up or review at a later <br />time or during the next visit? <br />N <br />This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form. <br />Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.