Orange County NC Website
Browse       Search
Community Advisory Committee Quarterl /Annual Visitation Report j <br /> County: Facility Type: - FacilityName/Address: <br /> Orange ❑Family Care Home ❑Nursing Home Graceful Llving,624JonesFerry Rd,Carrboro27510 <br /> OAdult Care Home ❑ r <br /> Visit DaTime spent in facility: hr 45 min Arrival time: 3 :30 ❑ am 0 pm <br /> Name of person exit interviewwas held with: Interview was held: ✓ in Person Phone <br /> ✓ Admin. SIC Sue visor in Charge) ❑✓ Other Staff Rep. Name/TUe Anita Terry,Business Office Manager <br /> Committee Members Present: Report Completed by: <br /> Stephanie Boswell,Marylou Gelbium MaryLOu Gelblum <br /> Number of Residents who receivedersonal visits from committee members: <br /> Resident Rights Information is clead visible: Yes NoI Ombudsman Contact Info is correct and clear) posted: Yes No <br /> The most recent survey was readily accessible:©Yes U No Staffing information Cleary posted: L Yes❑No <br /> Re ulred forNursina Homes Onl <br /> Resident r • •r <br /> 1. Dothe residents appear neat,clean and odorfree? Yee Most residents again were found in <br /> 2. Did residents say they receive assistance with persond care <br /> their rooms, though we did see more <br /> activities?Ex.brushing fheirleeth,combing their hair,Inserting i Yee visits happening on the women's wing.; <br />- - <br /> dentures orcleaningtheireyeglasses? i <br /> Staff were seen working and moving ; <br /> 3. Did you see or hear residents being encouraged to perticipate in vee about. We met the new Activities <br /> their care by staff members? Director and were impressed as she <br /> + 4. Were residents interacting with staff,other residents&visitors? Yee engaged with residents, speaking to 11 <br /> 5. Did staff respond to or interact with residents who had difficulty yB8 engaged <br /> name, introducing us, and <br /> _ communicatingpr making their needs known verbally? y g <br /> 6. Did you observe restraints in use? !. No exhibiting enthusiasm. <br /> 7. If so,did ouaKabutefacili 'srestrent olicies7 NIA <br /> r- askstr r roth.r. 0 ff R7,911141". no • • <br /> 8. Did residents describe their living environment as homelike? I Yee The building has more overhead <br /> 9. Did you notice unpleasant odors in commonly used areas? No lighting& have installed overhead <br /> 10. Did you see items that could cause harm or be hazardous? I No fans in the hallways. No unpleasant <br /> 11. Did residantsfeeltheirliuingareasweretoonoisy? No odors noted in common areas and the. <br /> 12. Does the facility accommodate smokers? - building andbathroomswere <br /> Where? ✓ Outside y Y88 <br /> ❑ y❑Inside only❑Both Insidel0utsitle clean.There is a smoking area outside' <br /> 13. Were residents able to reach their call bells with ease? Yes w ChairS.ReSidents mostly report <br /> 14. Did staff answer call bells in atmely&courteous manner? NIA being satisfied and happy w admin. <br /> If no,did you share this with the administrative staff? <br /> Comments/OtherResident Services YesiNoINA Observations <br /> 15. Were residentsasked their preferences oropinions aboutthe Yea There were daily activities and menus <br /> activities lanned for them at the facili ? listed in the hallway. Residents are <br /> 16. Do residents have the opportunity to purchase personal items of <br /> given achoice offoods <br /> . <br /> their choice using their monthly needs funds? Yoe Aworking phone is now available On <br /> Can residents access their monthly needs funds at their the women's side but not On the <br /> convenience? <br /> 17. Are residents asked their preferences about meal/snack choices? men's.There is now a barber offering <br /> Are they givenachoice about where they refer to dine? Yee services several times a week. <br /> 18. Do residents haveprivacy in making and receiving hone calls? No <br /> 19. Is there evidence of community involvement from other civic, <br /> volunteer or religious groups? YB6. <br /> 20. Does the facility have a Resident's Council? <br /> Family Council? rep <br /> I <br /> Aretliereresidentissues_ortopicsthatneedfollow-up or review at a later Discuss items from"AreasrofConcern"Section <br /> time or during the next visit? No as well as any changes observed during the visit <br /> There is no private phone on the men's wing. Admin. is still working on the problems <br /> One resident has ongoing complaints(believes of residents stealing or breaking the <br /> administration is out to get him). phone on the men's side. <br /> Administration try and work with the <br /> resident and address his ongoing <br /> complaints. <br /> This Documenlls PUBLIC RECORD.Do not identify any Resident(s)by name orinference on This form. <br /> Top Cop is for the Regional Ombudsman's Record.Bottom Co av Is for the CAC's Records. <br /> Revised 11211202D <br />