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Co munity Advisory Committee Quarterly/Annual Visitation Report <br /> County: ORANGE Facility Type: Facility Name/Address: <br /> ❑Family Care Home ❑Nursing Home The Stratford <br /> ®Adult Care Home 405 Smith Level Road, Chapel Hill, NC 27516 <br /> Visit Date: 02/06/2025 Time spent in facility: ?? Arrival time: 9: <br /> min <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 clear) posted: ®Yes ❑ No <br /> The most recent survey was readily accessible: ❑ Yes ❑ No Staffing information clearly posted: ®Yes❑ No <br /> Re uired for Nursing Homes Onl <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 NA <br /> dentures or cleaning their eyeglasses? <br /> 3. Did you see or hear residents being encouraged to participate in N <br /> their care by staff members? <br /> 4. Were residents interacting with staff, other residents&visitors? Y <br /> 5. Did staff respond to or interact with residents who had difficulty NA <br /> communicating or making their needs known verbally? <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 Is doing a great job: They <br /> 2. Did you notice unpleasant odors in commonly used areas? N had a schedule and assignment sheets and were <br /> 3. Did you see items that could cause harm or be hazardous? N doing hair, and nails, and walking with the clients <br /> 4. Did residents feel their living areas were too noisy? N within their area. The name is being changed to <br /> 5. Does the facility accommodate smokers? Y Memory Lane. <br /> Where? ® Outside only❑ Inside only❑ Both Inside/Outside Table cloths on the dining room tables. <br /> 6. Were residents able to reach their call bells with ease? NA Roaches have been seen and are being addressed <br /> 7. Did staff answer call bells in a timely&courteous manner? NA by pest control. <br /> If no, did you share this with the administrative staff? <br /> Resident •/NA Comments/Other Observations <br /> 1. Were residents asked their preferences or opinions about the NA New activity Director(out during our visit), Kiana <br /> activities planned for them at the facility? Davis. <br /> 2. Do residents have the opportunity to purchase personal items of Y Library looks very good, clean and stocked with <br /> their choice using their monthly needs funds? books. <br /> Can residents access their monthly needs funds at their Y One resident got clothes back a bit damp, but this <br /> convenience? was redone when resident notified the staff. <br /> 3. Are residents asked their preferences about meal/snack choices? N Several residents gave a"shout out"to the staff. <br /> Are they given a choice about where they prefer to dine? N <br /> 4. Do residents have privacy in making and receiving hone calls? Y <br /> 5. Is there evidence of community involvement from other civic, N <br /> volunteer or religious groups? <br /> 6. Does the facility have a Resident's Council? Y <br /> Family Council? <br /> Areas of • • <br /> /NA Exit Summary <br /> Are there resident issues or topics that need follow-up or review at a later N <br /> time or during the next visit? <br /> Community Advisory Committee Quarterly/Annual Visitation Report <br />