NH-Signature HealthCARE of CH 2025-05-22

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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: 05/22/2025 Time spent in facility: 105 min. Arrival time: ® 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: Alicia Reid, Shade Little Report Completed by: Shade Little Number of Residents who received personal visits from committee members: 20 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 (Required for Nursing Homes Only) Resident Profile Yes/No/NA Comments/Other Observations l. Do the residents appear neat, clean and odor free? y Residents are very comfortable interacting and 2. Did residents say they receive assistance with personal care activities? sharing information regarding staff(good, helpful and Ex. brushing their teeth, combing their hair,inserting dentures or cleaning NA responsive). their eyeglasses? Visitors commented favorably on interaction with staff 3. Did you see or hear residents being encouraged to participate in N and accommodations. 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? N_A71 Resident Living Accommodations Yes/No/NA Comments/Other Observations 1. Did residents describe their living environment as homelike? Y In one room we talked with the daughter of a resident 2. Did you notice unpleasant odors in commonly used areas? N with concerns.The call bell had fallen out of reach and 3. Did you see items that could cause harm or be hazardous? N the resident was lying across the bed. She was able 4. Did residents feel their living areas were too noisy? N to get her parent back in bed, and they were sleeping 5. Does the facility accommodate smokers? Y soundly. The daughter's concerns were relieved Where? ® Outside only❑ Inside only❑ Both Inside/Outside when an aide came by and stated this had happened 6. Were residents able to reach their call bells with ease? Y after they had visited the room a few hours earlier. We 7. Did staff answer call bells in a timely&courteous manner? NA left a card with instructions to call Ombudsmen,with If no, did you share this with the administrative staff? this or any other concerns. Activity board had some outdated flyers and information mixed in with current menu and activities posted. Resident • • Obserrrvations 1. Were residents asked their preferences or opinions about the Y The facility now has 37 residents who are there only activities planned for them at the facility? for the rehab services. The rehab people still service 2. Do residents have the opportunity to purchase personal items of Y long term residents as needed. their choice using their monthly needs funds? Thet have an always available menu (burgers, hot Can residents access their monthly needs funds at their Y dogs,chefs salad, fried,grilled cheese, soup of the convenience? day),which can be had if ordered at least 30 minutes 3. Are residents asked their preferences about meal/snack choices? Y before a meal. Are they given a choice about where they prefer to dine? Y Some rooms were cold to some residents, even with 4. Do residents have privacy in making and receiving phone calls? y temperature set at 71 F. Management attributed this 5. Is there evidence of community involvement from other civic, Y to the age of the infrastructure(built in the 1960s), and volunteer or religious groups? lack of knowledge of ducts,etc. They try to keep 6. Does the facility have a Resident's Council? y residents in extra clothing when noted. Family Council? Ongoing maintainence with walls being prepped for painting. Areas of • Yes/No/NAF Exit Summary Are there resident issues or topics that need follow-up or review at a later N Air condition unit will be checked out prior to our next time or during the next visit? visit. Director will have information board updated immediately.