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Com unity Advisory Committee Quarterly/Annual Visitation Report County: Facility Type: Facility Name/Address: Carol Woods Retirement Community, Buildings 4& 5 Orange Nursing Home 750 Weaver Dairy Rd Chapel Hill, INC 27514 Visit Date: 03/26/25 Time spent in facili : 60 min. Arrival time: 12:45 PM Name of person exit interview was held with: Jessica Fines-Crawford, administrator and Melanie Johnson,DON 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: 5 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 Re uired for NursinQ Homes Onl Resident • •/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? Multiple residents were receiving help with daily living Ex. brushing their teeth, combing their hair,inserting dentures or cleaning Y activities. Staff were also helping change bed linen. their eyeglasses? 3. Did you see or hear residents being encouraged to participate in their Residents were sitting in shared meal areas by windows. Y The expressed their o of looking at the tulip garden. care b staff members? y p joy g p 4. Were residents interacting with staff,other residents&visitors? Y 5. Did staff respond to or interact with residents who had difficulty NIA communicating or making their needs known verbally? 6. Did ou observe restraints in use? N 7. If so,did you ask staff about the facility's restraint policies? NIA 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 The building is clean and well-maintained. 3. Did you see items that could cause harm or be hazardous? N 4. Did residents feel their livingareas were too noisy? N One resident stated,"They take care of everything forme" when describing her satisfaction with the staff. 5. Does the facility accommodate smokers? Y Where? ® Outside only Residents spoke of the fitness activities available, 6. Were residents able to reach their call bells with ease? N/A including yoga and dancing. Easy access to physical 7. Did staff answer call bells in a timely&courteous manner? NIA therapy and occupational therapy was also mentioned. 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 activities planned for them at the facility? A large calendar of diverse activities is posted in a central 2. Do residents have the opportunity to purchase personal items of Y location. Residents spoke to the accessibility of activities. 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 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 • Yes/No/NA Exit Summary Are there resident issues or topics that need follow-up or review at a later N time or during the next visit?