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Com unity Advisory Committee Quarter) /Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address: <br /> Family Care Charles House-Winmore Eldercare121 Della St, <br /> Carrboro, NC 27510 <br /> Report Completed by Time spent in facility: 30 minutes Arrival time: 9:45 AM <br /> Jackie Podger and Date: November 10,2025 <br /> Shade Little <br /> Name of person exit interview was held with: Loganyze Burnett, SIC <br /> Interview was held: In Person <br /> Committee Members Present: Jackie Podger and Shade Little <br /> Number of Residents who received personal visits from committee members: 2 <br /> Resident Rights Information is clearly visible:Yes Ombudsman Contact Info is correct and clear) posted:Yes <br /> The most recent survey was readily accessible: Staffing information clearly posted: <br /> Required for Nursing Homes Only) Famil Care Home <br /> Resident •file I Cornments/Other Observations <br /> 1. Do the residents appear neat,clean and odor free? Yes <br /> 2. Did residents say they receive assistance with personal care Many of the residents boarded the shuttle to be <br /> activities?Ex. brushing their teeth, combing their hair, inserting transported to Charles House for a day of <br /> dentures or cleaning their eyeglasses? Yes activities, only several remained. Residents <br /> seemed pleased to be going to spend the day at <br /> the day facility. <br /> 3. Did you see or hear residents being encouraged to participate in N/A <br /> their care by staff members? <br /> 4. Were residents interacting with staff, other residents&visitors? Yes The staff interacts with the residents frequently. <br /> 5. Did staff respond to or interact with residents who had difficulty One of the residents asked that her coffee be <br /> communicating or making their needs known verbally? Yes warmed and was promptly presented with a cup <br /> of coffee which was happily received by the <br /> resident. <br /> 6. Did you observe restraints in use? No <br /> 7. If so, did you ask staff about the facility's restraintpolicies? N/A <br /> Resident Living Accommodations Yes/No/NA Comments/Other Observations <br /> 8. Did residents describe their living environment as homelike? Yes <br /> 9. Did you notice unpleasant odors in commonly used areas? No The residents were complimentary about the <br /> living environment at the facility. Residents were <br /> dressed neatly and appeared to be comfortable <br /> as they relaxed in the lounge area. <br /> Staff checked on residents during the time of our <br /> visit. The TV was on and the staff member <br /> noted it was time to change the channel as a <br /> favorite show was coming on. <br /> 10. Did you see items that could cause harm or be hazardous? No <br /> 11. Did residents feel their living areas were too noisy? No <br /> 12. Does the facility accommodate smokers? Yes <br /> Where?Outside only <br /> 13. Were residents able to reach their call bells with ease? N/A <br /> 14. Did staff answer call bells in a timely&courteous manner? <br /> If no, did you share this with the administrative staff? Yes <br /> Resident • • Observations <br /> 15. Were residents asked their preferences or opinions about the Yes The Activity Calendar is filled with activities of <br /> activities planned for them at the facility? varying types. The facility was decorated with <br /> stimulating seasonal items. <br /> 16. Do residents have the opportunity to purchase personal items of Yes <br /> their choice using their monthly needs funds? Newspapers and other reading materials were <br /> Can residents access their monthly needs funds at their evident throughout the common area. <br /> convenience? <br /> 17. Are residents asked their preferences about meal/snack choices? Yes Residents all eat in the dining room, unless they <br /> Are they given a choice about where they prefer to dine? are ill. <br /> 18. Do residents have privacy in making and receiving hone calls? Yes <br /> 19. Is there evidence of community involvement from other civic, Yes The community is involved in the activities that <br /> volunteer or religious groups? occur at Charles House Winmore as noted on <br /> the activity calendar. <br /> 20. Does the facility have a Resident's Council? Yes <br /> Family Council? <br /> Areas of • <br />