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Comm unit Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Facility Name/Address: ❑Family Care Home ❑Nursing Home Terra Bella ®Adult Care Home 1911 Orange Grove Rd. Hillsborough, NC 27278 Visit Date: 07/10/2024 Time spent in facility: 0 hr 45 min Arrival time: 2:00 ❑ am ® pm Name of person exit interview was held with: Interview was held: ® in Person [:] Phone ❑Admin. ❑ SIC (Supervisor in Charge) ❑ Other Staff Rep. Name& Title Jennifer Palmisano Committee Members Present: Kelly Kester Carol Kelly Report Completed by: Kelly Kester Number of Residents who received personal visits from committee members: 6 Resident Rights Information is clearly visible: ®Yes❑ No Ombudsman Contact Info is correct and clear) posted: ® Yes ❑ No The most recent survey was readily accessible: ❑ Yes ❑ No Staffing information clearly posted: ® Yes ❑ No Re uired for Nursing Homes Onl Resident Profile • Comments/Other Observations Do the residents appear neat,clean and odor free? Y Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair, inserting dentures or cleaning Y their eyeglasses? Did you see or hear residents being encouraged to participate in their care by Y staff members? Were residents interacting with staff,other residents&visitors? Residents were interacting with each other, staff, and family members while sitting in Y rocking chairs on the front porch of the facility. Multiple residents visiting with family members in common areas and their rooms. Did staff respond to or interact with residents who had difficulty Y communicating or making their needs known verbally? Did you observe restraints in use? N/A If so, did you ask staff about the facility's restraintpolicies? N/A Resident Living Accommodations Yes/No/NA Comments/Other Observations 1. Did residents describe their living environment as homelike? Y 2. Did you notice unpleasant odors in commonly used areas? N 3. Did you see items that could cause harm or be hazardous? N 4. Did residents feel their living areas were too noisy? N 5. Does the facility accommodate smokers? Y Administrator reported that,while smoking is Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside accommodated, they do not have any residents who smoke currently. 6. Were residents able to reach their call bells with ease? Y 7. Did staff answer call bells in a timely&courteous manner? Y If no, did you share this with the administrative staff? N/A Resident • • Observations 8. Were residents asked their preferences or opinions about the Y Activities director speaks with each resident activities planned for them at the facility? daily Monday-Friday. Residents can request outings and facility has bus that can transport residents. 9. Do residents have the opportunity to purchase personal items of Y their choice using their monthly needs funds? Can residents access their monthly needs funds at their N/A convenience? 10. Are residents asked their preferences about meal/snack choices? Y Four residents shared that they have Are they given a choice about where they prefer to dine? Y concerns about the food. 11. Do residents have privacy in making and receiving hone calls? Y