Orange County NC Website
Comm unit Advisory Committee Quarterly/Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address:Adorable Senior Living <br /> ❑Family Care Home [-]Nursing Home 401 West Queen St <br /> ®Adult Care Home Hillsborough, NC 27278 <br /> Visit Date: 07/ 10/2024 Time spent in facility: hr 25 min Arrival time: 1:00 ❑ am ® pm <br /> Name of person exit interview was held with: Interview was held: ® in Person ❑ Phone <br /> ❑Admin. ❑ SIC (Supervisor in Charge) ❑ Other Staff Rep. Medication Technician S Iv'a N'oku Name& Title <br /> Committee Members Present: Kelly Kester Carol Kelly Report Completed by: Kelly Kester <br /> Number of Residents who received personal visits from committee members: 3 <br /> Resident Rights Information is clearly visible: ®Yes❑ No Ombudsman Contact Info is correct and clear) posted: ® Yes ❑ No <br /> The most recent survey was readily accessible: ❑ Yes ❑ No Staffing information clearly posted: ® Yes ❑ No <br /> Re uired for Nursing Homes Onl <br /> Resident Profile • Comments/Other <br /> Observations <br /> Do the residents appear neat,clean and odor free? Y <br /> Did residents say they receive assistance with personal care activities? Ex. <br /> brushing their teeth, combing their hair, inserting dentures or cleaning Y <br /> their eyeglasses? <br /> Did you see or hear residents being encouraged to participate in their care by Y <br /> staff members? <br /> Were residents interacting with staff,other residents&visitors? Staff members interacting and providing care <br /> Y to residents.Two residents were watching <br /> television together. <br /> Did staff respond to or interact with residents who had difficulty Staff member clearly understood unique <br /> communicating or making their needs known verbally? Y needs of each resident and communicated <br /> appropriately to each. <br /> Did you observe restraints in use? N <br /> If so, did you ask staff about the facility's restraintpolicies? N/A <br /> Resident Living Accommodations Yes/No/NA Comments/Other <br /> Observations <br /> 1. Did residents describe their living environment as homelike? Y Resident shared that the staff and volunteers <br /> participate in activities with them. When the <br /> weather accommodates, residents can sit in <br /> rocking chairs on the porch. <br /> 2. Did you notice unpleasant odors in commonly used areas? N <br /> 3. Did you see items that could cause harm or be hazardous? N <br /> 4. Did residents feel their living areas were too noisy? N <br /> 5. Does the facility accommodate smokers? Y <br /> Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside <br /> 6. Were residents able to reach their call bells with ease? N/A <br /> 7. Did staff answer call bells in a timely&courteous manner? N/A <br /> If no, did you share this with the administrative staff? N/A <br /> Resident ' Comments/Other <br /> Observations <br /> 8. Were residents asked their preferences or opinions about the Y <br /> activities planned for them at the facility? <br /> 9. Do residents have the opportunity to purchase personal items of Y <br /> their choice using their monthly needs funds? <br /> Can residents access their monthly needs funds at their Y <br /> convenience? <br /> 10. Are residents asked their preferences about meal/snack choices? Y Staff accommodated meal preferences of <br /> Are they given a choice about where they prefer to dine? Y residents and was aware of what their <br /> preferences were. <br /> 11. Do residents have privacy in making and receiving phone calls? Y <br />