Orange County NC Website
Community Advisory Committee Quarterly/Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address:Terra Bella Hillsborough, <br /> ❑Family Care Home ❑Nursing Home 1911 Orange Grove Rd, Hillsborough, NC <br /> XAdult Care Home ❑Combination Home <br /> Visit Date 11-16-2023 Time spent in facility: hr 45 min Arrival time: 2:55 pm <br /> Name of person exit interview was held with: Jasmine Craig, Business Office Manager Interview was held: X in Person ❑ Phone <br /> ❑Admin. <br /> ❑ SIC(Supervisor in Charge) X Other Staff Rep. (Name& Title)Jasmine Craig, Business Office Manager <br /> Committee Members Present: Carol Kelly, Kelly Kester,Vibeke Talley Report Completed by:Vibeke Talley <br /> Number of Residents who received personal visits from committee members: 9 <br /> Resident Rights Information is clearly visible: X Yes ❑ No Ombudsman Contact Info is correct and clearly posted: X Yes X No <br /> Ombudsman's name is her maiden name. <br /> The most recent survey was readily accessible: ❑Yes ❑ No Staffing information clearly posted: ❑ Yes ❑ No(Required for Nursing <br /> (Required for Nursing Homes Only) Homes only.) <br /> Resident Profile Yes/No/NA Comments/Other Observations <br /> 1. Do the residents appear neat, clean and odor free? Yes* Black flies were found in one resident's room <br /> 2. Did residents say they receive assistance with personal care <br /> activities?Ex. brushing their teeth, combing their hair, inserting Yes <br /> dentures or cleaning their eyeglasses? <br /> 3. Did you see or hear residents being encouraged to participate in Yes <br /> their care by staff members? <br /> 4. Were residents interacting with staff, other residents&visitors? Yes <br /> 5. Did staff respond to or interact with residents who had difficulty NA <br /> communicating or making their needs known verbally? <br /> 6. Did you observe restraints in use? No <br /> 7. If so, did you ask staff about the facility's restraint policies? <br /> Resident Living Accommodations Yes/No/NA Comments/Other Observations <br /> 8. Did residents describe their living environment as homelike? Yes One resident stated: "If I have to be somewhere <br /> other than home, I'm glad to be here" <br /> ------------ <br /> 9. Did you notice unpleasant odors in commonly used areas? No <br /> F------------I <br /> 10. Did you see items that could cause harm or be hazardous? No <br /> 11. Did residents feel their living areas were too noisy? NA <br /> 12. Does the facility accommodate smokers? Yes <br /> Where?X Outside only ❑ Inside only ❑ Both Inside/Outside <br /> 13. Were residents able to reach their call bells with ease? Yes* Residents wear the call bell either as a bracelet <br /> or a necklace, so they have access to call bells <br /> all the time. <br /> 14. Did staff answer call bells in a timely&courteous manner? No* Two residents stated that they frequently have to <br /> If no, did you share this with the administrative staff? wait a long time for the call bell to be answered. <br /> One resident said she had waited an hour for the <br /> staff person to come and take her to the <br /> bathroom. Residents stated that staff is caring <br /> and courteous. <br /> Resident '/NA Comments/Other Observations <br />