Orange County NC Website
Community Advisory Committee Quarterly/Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address: <br /> ❑Family Care Home ❑Nursing Home Carol Woods <br /> ❑Adult Care Home 750 Weaver Dairy Rd, Chapel Hill, NC 27514 <br /> Visit Date: 09/07/2023 Time spent in facility: hr 35 min Arrival time: 02:25 ❑ am ® pm <br /> Name of person exit interview was held with: Jessica Fine and Melanie Johnson Interview was held: ® in Person ❑ Phone <br /> ® Admin. X Other Staff Rep: Melanie Johnson, Director of Nursing <br /> Committee Members Present: Kelly Kester, Jackie Podger Report Completed by: Jackie Podger <br /> Number of Residents who received personal visits from committee members: 2 <br /> Resident Rights Information is clearly visible: ® Yes❑ No Ombudsman Contact Info is correct and clear) posted: X YES <br /> The most recent survey was readily accessible: X YES Staffing information clearly posted: ®Yes ❑ No <br /> Re uired for Nursing Homes Only) <br /> Resident Profile • Comments/Other <br /> Observations <br /> 1. Do the residents appear neat, clean and odor free? Y <br /> 2. Did residents say they receive assistance with personal care <br /> activities? Ex. brushing their teeth, combing their hair, inserting Y <br /> dentures or cleaning their eyeglasses? <br /> 3. Did you see or hear residents being encouraged to participate in N/A <br /> their care by staff members? <br /> 4. Were residents interacting with staff, other residents &visitors? Melanie Johnson was awarded the Joan <br /> Anne McHugh Award for Leadership in <br /> Long-Term Services and Supports <br /> Y (LTSS) Nursing for 2023. It is a national <br /> award and is given for outstanding <br /> leadership in nursing, guiding staff in <br /> creating a positive setting for residents. <br /> 5. Did staff respond to or interact with residents who had difficulty N/A <br /> communicating or making their needs known verbally? <br /> 6. Did you observe restraints in use? N <br /> 7. If so, did you ask staff about the facility's restraint policies? N/A <br /> Resident Living Accommodations Yes/NoINA Comments/Other <br /> Observations <br /> 8. Did residents describe their living environment as homelike? Y <br /> 9. Did you notice unpleasant odors in commonly used areas? Y The 3rd floor was being painted and <br /> consequently there was a paint odor. Many <br /> of the resident doors were closed to lessen <br /> odor. The painting is scheduled to conclude <br /> very soon. <br /> 10. Did you see items that could cause harm or be hazardous? N <br /> 11. Did residents feel their living areas were too noisy? N <br /> 12. Does the facility accommodate smokers? N/A <br /> Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside <br /> 13. Were residents able to reach their call bells with ease? Y <br /> 14. Did staff answer call bells in a timely&courteous manner? Y Because of low census, staff members were <br /> If no, did you share this with the administrative staff? able to immediately assist residents where <br /> needed. <br /> Resident • Comments/Other <br /> Observations <br /> 15. Were residents asked their preferences or opinions about the Y Activity Calendar was displayed despite <br /> activities planned for them at the facility? everything having been removed from the <br /> walls. One resident reported she enjoyed the <br /> singing. <br />