AL-Graceful Living 2025-09-30 (2)

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Corn unity Advisory Committee Quarter) /Annual Visitation Report County: Facility Type: Facility Name/Address: Orange ❑Family Care Home ❑Nursing Home Graceful Living -624 Jones Ferry Rd, Carrboro, N( ❑✓Adult Care Home ❑ Visit Date: 09 / 30 /25 Time spent in facility: hr 50 min Arrival time: 3 : 45 ❑ am ❑✓ pm Name of person exit interview was held with: Interview was held: ❑✓ in Person ❑ Phone ❑✓ Admin. ❑ SIC(Supervisor in Charge) ❑ Other Staff Rep. Name/Title AmyFox,Executive Diretor Committee Members Present: Report Completed by: Stephanie Boswell, MaryLou Gelblum Marylou Gelblum Number of Residents who received personal visits from committee members: 7 Resident Rights Information is clearly visible: ❑✓ Yes ❑ No Ombudsman Contact Info is correct and clearly 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 I Comments/Other Observations 1. Do the residents appear neat, clean and odor free? Yes Residents did appear to be 2. Did residents say they receive assistance with personal care activities?Ex. brushing their teeth, combing their hair, inserting N/A comfortably dressed, clean and odor dentures or cleaning their eyeglasses? free. Staff were present throughout 3. Did you see or hear residents being encouraged to participate in Nbuilding and were observed interacting their care by staff members? ° with residents in the dayroom and 4. Were residents interacting with staff, other residents&visitors? Yes hallway. 5. Did staff respond to or interact with residents who had difficulty N/A communicating or making their needs known verbally? 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility's restraintpolicies? N/A Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? Yes Though the building appears clean 9. Did you notice unpleasant odors in commonly used areas? Yes 10. Did you see items that could cause harm or be hazardous? No throughout and brighter there 11. Did residents feel their living areas were too noisy? No continues to be an underlying 12. Does the facility accommodate smokers? Yes unpleasant odor permeating the Where? ❑✓ Outside only❑ Inside only❑ Both Inside/Outside building, stronger in some places than 13. Were residents able to reach their call bells with ease? Yes others. Residents satisfied with their 14. Did staff answer call bells in a timely&courteous manner? No rooms which contain personal If no, did you share this with the administrative staff? Resident '/NA Comments/Other Observations 15. Were residents asked their preferences or opinions about the No There is a new chef who said he is activities planned for them at the facility? 16. Do residents have the opportunity to purchase personal items of working to please. Daily menu is listed their choice using their monthly needs funds? Yes outside dining room. An Activity Can residents access their monthly needs funds at their Director has been hired and the convenience? activity calendar reflected more 17. Are residents asked their preferences about meal/snack choices? N/A variety. We did find the TV in the Are they given a choice about where they prefer to dine? dayroom was not working where 18. Do residents have privacy in making and receiving phone calls? Yes several men had gathered to see a 19. Is there evidence of community involvement from other civic, Yes movie. Staff were going to volunteer or religious groups? 20. Does the facility have a Resident's Council? troubleshoot. Yes Family Council? Areas of • • /NA Exit Summary Are there resident issues or topics that need follow-up or review at a later Discuss items from "Areas of Concern"Section time or during the next visit? as well as any changes observed during the visit The unpleasant odor was again addressed with staff. Efforts to abate the unpleasant odor continue, with the Ex. Director Call bells are located beside the bed of each resident describing extensive cleaning undertaken every week, including but are not connected to a central staff area. Staff must floors. The building has been be near to hear when a bell is rung and a resident repainted. needs assistance. We were told last visit during our Exit discussion that When we asked again about the problem of staff hearing bells or calls the owner would be getting quotes for a building wide at night, we were told that someone call bell system. This has not happened. We also asked sits in the middle of each hallway at the resident who initially mentioned it as a problem night and is able to hear. whether things had changed and she said No. We alerted staff and they immediately sat with the resident and discussed the issue. We will continue to follow up. This Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form. Top Copy is for the Regional Ombudsman's Record.Bottom Copy is for the CAC's Records. Revised 1/21/2020