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Community Advisory Committee Quarter) /Annual Visitation Report <br /> County: Orange Facility Type: Facility Name/Address: <br /> ❑Family Care Home x Nursing Home Peak Resources Brookshire <br /> ❑Adult Care Home 300 Meadowlands Drive <br /> Hillsborough, NC 27278 <br /> Visit Date: 12/18/25 Time spent in facility: 55 minutes Arrival time: 9:05 a.m. <br /> Name of person exit interview was held with: Derrick Hammon,Administrator Interview was held: x❑ in Person ❑ Phone <br /> Committee Members Present:Sandra Okeke Bates and Carol Kelly Report Completed by: Carol Kelly <br /> Number of Residents who received personal visits from committee members: 7 <br /> Resident Rights Information is clearly visible:x❑Yes Ombudsman Contact Info is correct and clearly posted:Yes <br /> The most recent survey was readily accessible: x Yes Staffing information clearly posted: x Yes <br /> Re uired for Nursing Homes Onl <br /> Resident •file Comments/Other Observations <br /> Do the residents appear neat, clean and odor free? Y <br /> 2 Did residents say they receive assistance with personal care Residents consistently said they felt well <br /> activities? Ex. brushing their teeth, combing their hair, inserting dentures or Y cared for. <br /> cleaning their eyeglasses? <br /> 3 Did you see or hear residents being encouraged to participate in <br /> Y <br /> their care by staff members? <br /> 4 Were residents interacting with staff, other residents&visitors? A resident said he felt that some of the staff <br /> Y had 'adopted' him and went out of their way to <br /> do things for him. <br /> 5 Did staff respond to or interact with residents who had difficultyOne resident described this facility as a <br /> communicating or making their needs known verbally? Y happy place.'A restorative aide comes in <br /> the mornings to assist those needing <br /> additional care in the morning. <br /> 6 Did you observe restraints in use? N <br /> 7 If so, did you ask staff about the facility's restraint policies? N/A <br /> Resident Living Accommodations Comments/Other Observations <br /> 1. Did residents describe their living environment as homelike? Y <br /> 2• Did you notice unpleasant odors in commonly used areas? N The facility was immaculate. Hallways and <br /> rooms are frequently mopped. <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? N <br /> Where? ❑ Outside only ❑ Inside only ❑ Both Inside/Outside <br /> 6. Were residents able to reach their call bells with ease? Y One mentioned it was not necessary as <br /> she was checked on frequently. <br /> 7. Did staff answer call bells in a timely&courteous manner? Y <br /> If no, did you share this with the administrative staff? N/A <br /> Resident '/NA Comments/Other Observations <br /> 8. Were residents asked their preferences or opinions about the Y Residents were enthusiastic about the <br /> activities planned for them at the facility? activities. One mentioned enjoying a recent <br /> holiday concert and card making activity. <br /> Individualized gifts for each resident have <br /> been secured through a local church. A <br /> holiday meal is planned for residents and <br /> families. <br /> 9• Do residents have the opportunity to purchase personal items of Y <br /> their choice using their monthly needs funds? <br /> Can residents access their monthly needs funds at their convenience? Y <br />