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Charles House Winmore 2016-08-09
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Charles House Winmore 2016-08-09
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Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County Orange Facility Type <br />Family Care Home <br />Adult Care Home <br />Nursing Home <br />Facility Name: Charles House Winmore <br />121 Della Street Chapel Hill NC 27516 <br />Census – current/licensed: 6/6 <br />Visit Date and day of the week <br />Tuesday August 9, 2016 <br />Time spent in facility <br />1 hours 30 minutes <br />Arrival time 1:00pm <br />Name of person(s) with whom exit interview was held <br />Heather Carden <br />Interview was held in person <br />Committee members present: Gloria Brown Suzanne Haff <br />Number of residents who received personal visits from committee members : 3 <br />(the other 3 were away at the Day Program) <br /> Report completed by: Suzanne Haff <br />Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes <br />The most recent survey was readily accessible Yes <br />(Required for NHs only – record date of most recent <br />survey posted) : <br />Staffing information clearly posted? Yes <br />Resident Profile Yes <br />No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br />1.Do the residents appear neat, clean and odor free?Yes 5. All residents had trouble speaking and <br />understanding but they appeared to have a good <br />relationship with the staff and actively tried hard <br />to communicate. <br />2.Did residents say they receive assistance with personal care <br />activities? (i.e. brushing their teeth, combing their hair, inserting <br />dentures or cleaning their eyeglasses) <br />Yes <br />3.Did you see or hear residents being encouraged to participate <br />in their care by staff members?Yes <br />4.Were residents interacting with staff, other residents & visitors? Yes <br />5.Did staff respond to or interact with residents who had <br />difficulty communicating or making their needs known verbally? Yes <br />5a Did staff members wear nametags that are easily read by <br /> residents and visitors? No <br />6.Did you observe restraints in use?No <br />7.If so, did you ask staff about the facility’s restraint policies? <br />Note: Do not ask about confidential information without consent n/a <br />Resident Living Accommodations Yes <br />No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br />8.Did residents describe their living environment as homelike? Yes 10-10c. This is a new facility and is extremely <br />clean, modern and, to all appearances, well run. 9.Did you notice unpleasant odors?No <br />10.Did you see items that could cause harm or be hazardous?No <br />10a. Were unattended med carts locked? Yes <br />10b. Were bathrooms clean, odor-free and free from hazards? Yes <br />10c. Were rooms containing hazardous materials locked? Yes <br />11.Did residents feel their living areas were kept at a reasonable <br />noise level? <br />Yes <br />12.Does the facility accommodate smokers? <br />Note: By regulation smoking is only permitted outside of the <br />Building <br />No <br />13.Were residents able to reach their call bells with ease?N/A <br />14.Did staff answer call bells in a timely & courteous manner?N/A <br />14a If no, did you share this with the administrative staff? N/A <br />x
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