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Com unity Advisory Committee Quarterly/Annual Visitation Report County: Facility Type: Facility Name/Address: Carol Woods Retirement Community, Buildings 6 &7 Orange Assisted Living 750 Weaver Dairy Rd Chapel Hill, NC 27514 Visit Date: 09/24/2025 Time spent in facili : 30 min. Arrival time: 08:00 AM Name of person exit interview was held with: Jessica Fines-Crawford, administrator Interview was held: in person Committee Members Present: Kelly Kester and Karen Green-McElveen Report Completed by: Kelly Kester and Karen �Green-McElveen Number of Residents who received personal visits from committee members: 6 Resident Rights Information is clearly visible: ®Yes Ombudsman Contact Info is correct and clear) posted: ®Yes The most recent survey was readily accessible: ❑Yes Staffing information clearly posted: ®Yes (Required for Nursing Homes Onl Resident Profile Yes/No/NA Comments/Other Observations 1. Do the residents appear neat,clean and odor free? Y 2. Did residents say they receive assistance with personal care activities? Ex. brushing their teeth, combing their hair,inserting dentures or cleaning Y their eyeglasses? 3. Did you see or hear residents being encouraged to participate in their Residents were seen performing their morning routines Y with support from staff.One resident in building 6 was care b staff members? pp g 4. Were residents interactingwith staff,other residents&visitors? Y preparing for breakfast and was given options for his meal. In building 7,residents were dining together and multiple 5. Did staff respond to or interact with residents who had difficulty NIA staff members were present and assisting as needed. 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 restraintpolicies? NIA Resident Living Accommodations Yes/No/NA Comments/Other Observations 1. Did residents describe their living environment as homelike? Y The buildings have art on the walls created by current and 2. Did you notice unpleasant odors in commonly used areas? N previous residents. 3. Did you see items that could cause harm or be hazardous? N 4. Did residents feel their living areas were too noisy? N Buildings are very quiet.The hallways are well-lit and free 5. Does the facility accommodate smokers? Y of hazards. Where? ® Outside only 6. Were residents able to reach their call bells with ease? NIA 7. Did staff answer call bells in a timely&courteous manner? NIA If no, did you share this with the administrative staff? Resident '/NA Comments/Other Observations 1. Were residents asked their preferences or opinions about the Y An activities calendar was posted in a central area with activities planned for them at the facility? several options. Residents also speak of their ability to visit 2. Do residents have the opportunity to purchase personal items of Y others and utilize the swimming pool. their choice using their monthly needs funds? Can residents access their monthly needs funds at their Y convenience? 3. Are residents asked their preferences about meal/snack choices? Y Residents have several options for each meal and staff Are they given a choice about where they prefer to dine? Y offer them choices when they arrive to the dining room. 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 • ' /NAF Exit Summary Are there resident issues or topics that need follow-up or review at a later N time or during the next visit?