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<br />Community Advisory Committee Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br />☐Family Care Home x Nursing Home <br />☐Adult Care Home <br />Facility Name/Address: <br />Peak Resources Brookshire <br />300 Meadowlands Drive <br />Hillsborough, NC 27278 <br />Visit Date: 6/18/2025 Time spent in facility: 45 minutes Arrival time: 10:00 a.m. <br />Name of person exit interview was held with: Derrick Hammon, Administrator Interview was held: ☒ in Person ☐ Phone <br /> <br /> <br />Committee Members Present: Sandra Okeke Bates and Carol Kelly <br /> <br /> Report Completed by: Carol Kelly <br />Number of Residents who received personal visits from committee members: 8 <br />Resident Rights Information is clearly visible: x☐ Yes Ombudsman Contact Info is correct and clearly posted: Yes <br />The most recent survey was readily accessible: x Yes <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: x Yes <br /> Resident Profile Yes/No/NA Comments/Other Observations <br />1 Do the residents appear neat, clean and odor free? Y <br />2 Did residents say they receive assistance with personal care <br />activities? Ex. brushing their teeth, combing their hair, inserting dentures or <br />cleaning their eyeglasses? <br />Y <br />Residents note they are offered showers <br />several times a week and they can decide <br />whether or not to accept. <br />3 Did you see or hear residents being encouraged to participate in <br />their care by staff members? Y <br />4 Were residents interacting with staff, other residents & visitors? <br />Y <br />Many were getting ready to attend Bingo, which <br />is held in a large dining hall as it has become so <br />popular. <br /> <br />5 Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? Y <br />Several residents mentioned caring and <br />responsive staff is what makes this a good <br />place to be. <br />6 Did you observe restraints in use? N <br />7 If so, did you ask staff about the facility’s restraint policies? N/A <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />1. Did residents describe their living environment as homelike? Y Residents in assisted living have their own <br />refrigerators where they can keep <br />refreshments and snacks. <br />2. Did you notice unpleasant odors in commonly used areas? N The facility was immaculate. <br />3. Did you see items that could cause harm or be hazardous? N <br />4. Did residents feel their living areas were too noisy? N <br />5. Does the facility accommodate smokers? <br />Where? ☐ Outside only ☐ Inside only ☐ Both Inside/Outside <br />N <br />6. Were residents able to reach their call bells with ease? Y <br />7. Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br />Y <br />N/A <br /> <br />Resident Services Yes/No/NA Comments/Other Observations <br />8. Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />Y Residents were enthusiastic about the <br />activities offered including painting and <br />making jewelry. <br />9. Do residents have the opportunity to purchase personal items of <br />their choice using their monthly needs funds? <br />Can residents access their monthly needs funds at their convenience? <br />Y <br /> <br />Y <br />There are vending machines. The activity <br />director will purchase items for residents <br />off campus on request. <br />10. Are residents asked their preferences about meal/snack choices? <br />Are they given a choice about where they prefer to dine? <br />Y <br />Y <br />Residents spoke positively about the cuisine. <br />Many planned to attend the residents’ dining <br />meeting that afternoon. They offer feedback <br />and enjoy selecting a monthly residents’ choice <br />menu. <br />11. Do residents have privacy in making and receiving phone calls? Y