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Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Facility Name/Address: Carol Woods Bldg 4,floor 2 and Bldg 5, 6, 7 ❑Assisted Living Carol Woods 750 Weaver Dairy Rd. Chapel Hill, 27514 Visit Date'; 6/21/2024 Time spent in facility: 1 hr 45 min Arrival time: ❑ 10AM Name of person exit interview was held with: Melanie Johnson (DON) Interview was held: X in Person X Admin: Jessica Fine❑ Committee Members Present: Shade Little and Jackie Podger Number of Residents who received personal visits from committee members: 17 Resident Rights Information is clearly visible: X Yes Ombudsman Contact Info is correct and clearly posted: X Yes The most recent survey was readily accessible: (Required for Nursing Homes Only) Staffing information clear) osted: X Yes Resident Profile • Do the residents appear neat, clean and odor free? YES Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair, YES inserting dentures or cleaning their eyeglasses? Did you see or hear residents being encouraged to participate in their care by staff members? YES Were residents interacting with staff, other residents &visitors? YES Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? YES Did you observe restraints in use? NO If so, did you ask staff about the facility's restraint policies? N/A Resident Living Accommodations Yes/No/NA 1. Did residents describe their living environment as homelike? YES 2. Did you notice unpleasant odors in commonly used areas? NO 3. Did you see items that could cause harm or be hazardous? NO 4. Did residents feel their living areas were too noisy? NO 5. Does the facility accommodate smokers? YES Where?X Outside only 6. Were residents able to reach their call bells with ease? YES 7. Did staff answer call bells in a timely&courteous manner? If no, did you share this with the administrative staff? YES Resident Services • 8. Were residents asked their preferences or opinions about the activities planned for them at the facility? YES 9. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? YES Can residents access their monthly needs funds at their convenience? 10. Are residents asked their preferences about meal/snack choices? YES Are they given a choice about where they prefer to dine? 11. Do residents have privacy in making and receiving phone calls? YES 12. Is there evidence of community involvement from other civic,volunteer or religious groups? YES 13. Does the facility have a Resident's Council? YES Family Council? Areas • Are there resident issues or topics that need follow-up or review at a later time or during the next visit? CAC Members toured all assisted living facilities in 3 different areas. Did not find any resident right violations and the residents as well as the facilities received good care.w This Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form. Top Copy is for the Regional Ombudsman's Record.Bottom Copy is for the CAC's Records.