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Community Advisory Committee Quarterly/Annual Visitation Report County: ORANGE Facility Type: Facility Name/Address: ❑Family Care Home ❑Nursing Home Carlisle at Carrboro (Crescent Green) DAdult Care Home 624 Jones Ferry Rd Carrboro, NC 27510 Visit Date: 8/282023 Time spent in facility: 50 min. Arrival time: 3:00 Elam ❑x 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. Laticia Beatty Committee Members Present: Karen Green-McElveen, MaryLou Gelblum, Shade Little Report Completed by: Shade Little Number of Residents who received personal visits from committee members: 12 Resident Rights Information is clearly visible: ❑x 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 Re uired for Nursin Homes Onl Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat,clean and odor free? Y The Bill of Rights had been moved to the front as 2. Did residents say they receive assistance with personal care activities? asked in our previous visit. Medicine door was Ex.brushing their teeth, combing their hair,inserting dentures or NA locked this time. A psychiatrist visits 2 to 3 times a cleaning their eyeglasses? week.A number of residents mentioned their 3. Did you see or hear residents being encouraged to participate in N gratefulness. The Director said it has made a big their care by staff members? difference in the mental health of many. We met 4. Were residents interacting with staff,other residents&visitors? Z' full-time psychiatric trainee. 5. Did staff respond to or interact with residents who had difficulty NA Administration is OK that there are several doors to communicating or making their needs known verbally? outside without alarms. They want alarms on doors 6. Did you observe restraints in use? N outside of usual staff observance. 7. If 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? Y There has been a noticeable improvement in 2. Did you notice unpleasant odors in commonly used areas? Y environment. The residents DID NOT complain as 3. Did you see items that could cause harm or be hazardous? N much. They were engaged in activities , (dancing, 4. Did residents feel their living areas were too noisy? N card games). Slightly foul odor throughout. A lack 5. Does the facility accommodate smokers? y of seating noticed in outdoor spaces except for the Where?❑x Outside only❑Inside only❑Both Inside/Outside smoking area. There is an enclosed outside area, 6. Were residents able to reach their call bells with ease? NA used by males. Females stay in rooms to watch TV 7. Did staff answer call bells in a timely&courteous manner? NA and/or gather in one resident's room for TV and If no,did you share this with the administrative staff? snacks. Resident '/NA Comments/Other Observations 1. Were residents asked their preferences or opinions about the Y Van used every day for appointments,other places activities planned for them at the facility? if desired. Church groups come by, some residents 2. Do residents have the opportunity to purchase personal items of NA work on planting around outside. Wish list: beautiful their choice using their monthly needs funds? garden, coloring books. Can residents access their monthly needs funds at their NA convenience? 3. Are residents asked their preferences about meal/snack choices? N 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, N volunteer or religious groups? 6. Does the facility have a Resident's Council? Y Family Council? Areas of • Are there resident issues or topics that need follow-up or review at a later Y Ceiling near room 221 is still wanting fixing, hole time or during the next visit? from tapping with pencil. LB says this is last traces of a very large water break which flooded the section, has been fixed, cleanup to come. 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.