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Community Advisory Committee Quarterly/Annual Visitation Report <br />County: ORANGE Facility Type: <br />Family Care Home Nursing Home <br />Adult Care Home <br />Facility Name/Address: <br />The Stratford <br />405 Smith Level Road, Chapel Hill, NC 27516 <br />Visit Date: 02/06/2025 Time spent in facility: ?? <br /> min <br />Arrival time: 9: <br /> <br /> am pm <br />Name of person exit interview was held with: Interview was held: in Person Phone <br /> Admin. SIC (Supervisor in Charge) Other Staff Rep. Davita Thompson <br />Committee Members Present: Alicia Reid, Shade Little Report Completed by: Shade Little <br />Number of Residents who received personal visits from committee members: 15 <br />Resident Rights Information is clearly visible: Yes No Ombudsman Contact Info is correct and clearly posted: Yes No <br />The most recent survey was readily accessible: Yes No <br />(Required for Nursing Homes Only) <br />Staffing information clearly posted: Yes No <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 <br />dentures or cleaning their eyeglasses? <br />NA <br />3. Did you see or hear residents being encouraged to participate in <br />their care by staff members? N <br />4. Were residents interacting with staff, other residents & visitors? Y <br />5. Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? NA <br />6. Did you observe restraints in use? N <br />7. If so, did you ask staff about the facility’s restraint policies? NA <br />Resident Living Accommodations Yes/No/NA Comments/Other Observations <br />1. Did residents describe their living environment as homelike? N The Memory Care unit ls doing a great job: They <br />had a schedule and assignment sheets and were <br />doing hair, and nails, and walking with the clients <br />within their area. The name is being changed to <br />Memory Lane. <br />Table cloths on the dining room tables. <br />Roaches have been seen and are being addressed <br />by pest control. <br />2. Did you notice unpleasant odors in commonly used areas? N <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 />Y <br />6. Were residents able to reach their call bells with ease? NA <br />7. Did staff answer call bells in a timely & courteous manner? <br />If no, did you share this with the administrative staff? <br /> NA <br /> <br />Resident Services Yes/No/NA Comments/Other Observations <br />1. Were residents asked their preferences or opinions about the <br />activities planned for them at the facility? <br />NA New activity Director (out during our visit), Kiana <br />Davis. <br />Library looks very good, clean and stocked with <br />books. <br />One resident got clothes back a bit damp, but this <br />was redone when resident notified the staff. <br />Several residents gave a “shout out” to the staff. <br /> <br /> <br />2. 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 <br />convenience? <br />Y <br /> <br />Y <br />3. Are residents asked their preferences about meal/snack choices? <br />Are they given a choice about where they prefer to dine? <br />N <br />N <br />4. Do residents have privacy in making and receiving phone calls? Y <br />5. Is there evidence of community involvement from other civic, <br />volunteer or religious groups? <br />N <br />6. Does the facility have a Resident’s Council? <br />Family Council? <br />Y <br /> Areas of Concern Yes/No/NA Exit Summary <br />Are there resident issues or topics that need follow-up or review at a later <br />time or during the next visit? <br />N <br /> <br />Community Advisory Committee Quarterly/Annual Visitation Report <br />