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 TerraBella Hillsborough (Elmcroft; Carillon) <br /> DAdult Care Home 1911 Orange Grove Rd Hillsborough, NC 27278 <br /> Visit Date: 9/5/2023 Timespent in facility:40 min Arrival time: 11:10 Earn ❑ m <br /> Name of person exit interview was held with: Interview was held: ❑x in Person ❑Phone <br /> ❑Admin. ❑x 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: ❑x Yes❑No Ombudsman Contact Info is correct and clear) posted: 0 Yes❑No <br /> The most recent survey was readily accessible: ❑Yes❑No Staffing information clearly posted: ❑x Yes❑No <br /> Re uired for Nursing Homes Only) <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 /> 2. Did residents say they receive assistance with personal care hallways chatting,in the Activity Room,and many were found <br /> sitting in their rooms,some watching TV,some reading. <br /> activities? Ex. brushing their teeth, combing their hair, inserting NA Residents appeared neat and clean and no restraints were <br /> dentures or cleaning their eyeglasses? observed. <br /> 3. Did you see or hear residents being encouraged to participate in y <br /> their care by staff members? <br /> 4. Were residents interacting with staff, other residents&visitors? y <br /> 5. Did staff respond to or interact with residents who had difficulty y <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 olicies? 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 /> 2. Did you notice unpleasant odors in commonly used areas? N accommodations.As many said they were bored.All rooms <br /> were large,clean and tidy with personalized items such as <br /> 3. Did you see Items that could cause harm or be hazardous? N comfortable chairs. Little staff interaction was noted except in <br /> 4. Did residents feel their living areas were too noisy? NA the Memory Care Unit,where in particular the Manager was <br /> 5. Does the facility accommodate smokers? y seen interacting and caring for many.Residents there looked <br /> Where?❑x Outside only❑Inside only❑Both Inside/Outside well-cared for,and a plus was a lovely outdoor flower and <br /> garden space tended in part by residents. <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? NA <br /> If no, did you share this with the administrative staff? <br /> Resident • • Observations <br /> 1. Were residents asked their preferences or opinions about the Y A number of residents mentioned boredom or wishing to be <br /> activities planned for them at the facility? home.However,activities are available.It is not known if they <br /> are encouraged.There does not appear to be much in-house <br /> 2. Do residents have the opportunity to purchase personal items of NA community involvement,though residents can attend activities <br /> their choice using their monthly needs funds? at the Snow Foundation,or participate in shopping.The <br /> Can residents access their monthly needs funds at their NA Director said there continues to be a Resident Council <br /> convenience? however an administrator attends those meetings(somewhat <br /> defeating the purpose).They have also appointed Hall <br /> 3. Are residents asked their preferences about meal/snack choices? N Monitors who collect information from residents who choose <br /> Are they given a choice about where they prefer to dine? N not to attend. <br /> 4. Do residents have privacy in making and receiving hone calls? NA <br /> 5. Is there evidence of community involvement from other civic, Y <br /> volunteer or religious groups? <br /> 6. Does the facility have a Resident's Council? y <br /> Family Council? <br /> Areas of • <br /> Are there resident issues or topics that need follow-up or review at a later N <br /> time or during the next visit? <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. <br />