NH-Signature HealthCARE of CH 2024-09-03

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Co munity Advisory Committee Quarterly/Annual Visitation Report County: ORANGE Facility Type: Facility Name/Address: ❑Family Care Home ®Nursing Home Signature HealthCARE of Chapel Hill ❑Adult Care Home 1602 East Franklin Street, Chapel Hill, NC 27514 Visit Date: 09/03/2024 Timespent in facility: 80 min. Arrival time: 10:00 ® am ❑ pm Name of person exit interview was held with: Interview was held: ® in Person ❑ Phone ❑Admin. ® SIC Supervisor in Charge) ❑ Other Staff Rep. Moses Muhairwe, Administrator Committee Members Present: Karen Green-McElveen, Shade Little Report Completed by: Shade Little Number of Residents who received personal visits from committee members: 21 Resident Rights Information is clearly visible: ® Yes❑ No Ombudsman Contact Info is correct and clearly posted: ®Yes ❑ No The most recent survey was readily accessible: ®Yes ❑ No Staffing information clearly posted: ®Yes ❑ No Required for Nursinq Homes Only) Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat,clean and odor free? Y There is a fair amount of residental interaction and 4 2. Did residents say they receive assistance with personal care activities? residents in wheelchairs were observed visiting and Ex.brushing their teeth, combing their hair, inserting dentures or cleaning Y moving through the halls. their eyeglasses? The surge of COVID cases in last quarter has 3. Did you see or hear residents being encouraged to participate in N vanished, NO cases at present.. their care by staff members? 4. Were residents interacting with staff,other residents&visitors? Y 5. Did staff respond to or interact with residents who had difficulty NA communicating or making their needs known verbally? 6. Did you observe restraints in use? N 7. If so,did you ask staff about the facility's restraint policies? NA Resident Living Accommodations Yes/No/NA Comments/Other Observations 1. Did residents describe their living environment as homelike? Y Outside smoking area is well utilized,AND an air 2. Did you notice unpleasant odors in commonly used areas? N curtain keeps the smoke from entering the facility. 3. Did you see items that could cause harm or be hazardous? N There are plans for then inner courtyard outside area 4. Did residents feel their living areas were too noisy? N which may be used for planting and garden activities. 5. Does the facility accommodate smokers? Y New TVs are being installed while we were there. Where? ® Outside only❑ Inside only❑ Both Inside/Outside Some residents expressed how pleased they were 6. Were residents able to reach their call bells with ease? Y that the facility was looking much better and they 7. Did staff answer call bells in a timely&courteous manner? NA LOVED the new paint job. Some of the residents If no, did you share this with the administrative staff? expressed how happy they were to be able to assist with the garden in the court yard. Resident '/NA Comments/Other Observations 1. Were residents asked their preferences or opinions about the Y Several residents remarked that the staff are activities planned for them at the facility? attentative to their needs and very nice. 2. Do residents have the opportunity to purchase personal items of Y No compaints about the food voiced, but several said their choice using their monthly needs funds? it was OK, one that breakfasts were good. Can residents access their monthly needs funds at their Y Several residents were excited about coffee/game convenience? time. 3. Are residents asked their preferences about meal/snack choices? Y Are they given a choice about where they prefer to dine? Y 4. Do residents have privacy in making and receiving hone calls? Y 5. Is there evidence of community involvement from other civic, Y volunteer or religious groups? 6. Does the facility have a Resident's Council? Y Family Council? Areas of Concern Are there resident issues or topics that need follow-up or review at a later Y New paint is being scrapped off because beds are time or during the next visit? being placed too close to the wall. This remains a concern. his Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.t Bottom Copy is for the CAC's Records.