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Home My WebLink AboutAgenda - 04-19-2016-11-d - Nursing Home Community Advisory Committee – Appointments 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 19, 2016 Action Agenda Item No. 11-d SUBJECT: Nursing Home Community Advisory Committee —Appointments DEPARTMENT: Board of Commissioners ATTACHMENT(S): INFORMATION CONTACT: Member Roster Clerk's Office, 919-245-2130 Recommendation Application for Person Recommended Applicant Interest List Applications for Persons on the Interest List PURPOSE: To consider making appointments to the Nursing Home Community Advisory Committee. BACKGROUND: The following information is for Board consideration: • Appointment to a full term (Position #6) "At-Large" position for Ed Flowers expiring 03/31/2019. NAME SPECIAL REPRESENTATIVE EXPIRATION DATE POSITION NO. 6 Ed Flowers At-Large 03/31/2019 NOTE - If the individuals listed above are appointed, the following vacancies remain: *Position #7--- "At-Large Nursing Home Administration" position expiring 06/30/2017. This position has been vacant since 01/06/2016. * All positions require a one year training period from date of appointment. FINANCIAL IMPACT: None SOCIAL JUSTICE IMPACT: Enable Full Civic Participation. Ensure that Orange County residents are able to engage government through voting and volunteering by eliminating disparities in participation and barriers to participation. RECOMMENDATION(S): The Manager recommends that the Board consider making an appointment to the Nursing Home Community Advisory Committee. 2 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 pm Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Carolyn Pennington Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-2703 Description: All appointments are made by the Board of Commissioners.This committee helps to maintain the intent of the Residents`Bill of Rights,promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Ms. Martha Bell Day Phone:919-968-4674 Sex: Female First Appointed: 10/06/2015 1 Evening Phone:919-968-4674 Race:Caucasian Current Appointment: 10/06/2015 100 Macrae Court FAX: Township: Chapel Hill Expiration: 10/06/2016 Chapel Hill NC 27516 E-mail:mbe11968 @yahoo.com Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms. Molly Stein Day Phone:954-254-2865 Sex: Female First Appointed: 06/16/2015 2 Evening Phone:954-254-2865 Race:Caucasian Current Appointment: 06/16/2015 103 Stephens Street FAX: Township: Chapel Hill Expiration: 06/16/2016 Chapel Hill NC 27516 E-mail:msstein @live.unc.edu Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Teri J. Driscoll Day Phone:919-245-1127 Sex: Female First Appointed: 09/17/2013 3 Chair Evening Phone:919-245-1127 Race:Caucasian Current Appointment: 10/07/2014 422 Hampton Pointe FAX: Township: Hillsborough Expiration: 09/30/2017 Hillsborough NC 27278 E-mail:drisco11323 @nc.rr.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Mr. Jerry Schreiber Day Phone:919 967 2962 Sex: Male First Appointed: 10/07/2014 4 Trainee Evening Phone:919 967 2962 Race:Caucasian Current Appointment: 10/06/2015 1606 Pathway Dr FAX: Township: Chapel Hill Expiration: 06/30/2017 Carrboro NC 27510 E-mail:jrogerschreiber @gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms. Sandra Nash Day Phone: 828-668-9628 Sex: Female First Appointed: 02/04/2014 5 Evening Phone: Race:Caucasian Current Appointment: 03/03/2015 600 West Poplar Ave.,Apt.239 FAX: Township: Chapel Hill Expiration: 06/30/2017 Carrboro NC 27510 E-mail:None Resid/Spec Req: At-Large Number of Terms: 2 Special Repr: Nursing Home Administration Tuesday,April 05,2016 Page 1 3 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 pm Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Carolyn Pennington Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-2703 Description: All appointments are made by the Board of Commissioners.This committee helps to maintain the intent of the Residents`Bill of Rights,promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. VACANT Day Phone: Sex: First Appointed: 6 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 03/31/2016 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large VACANT Day Phone: Sex: First Appointed: 7 Evening Phone: Race: Current Appointment: FAX: Township: Expiration: 06/30/2017 E-mail: Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Mrs. Jerry Ann Gregory Day Phone:919-644-8172 Sex: Female First Appointed: 12/09/2014 8 Evening Phone:919-644-8172 Race:Caucasian Current Appointment: 11/17/2015 2224 Lebanon Rd FAX: Township: Cheeks Expiration: 03/31/2017 Efland NC 27243 E-mail:harleyphn @yahoo.com Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Ms. Susan Deter Day Phone:919-682-4124 Sex: Female First Appointed: 04/19/2011 9 Evening Phone:919-479-0574 Race:Caucasian Current Appointment: 03/22/2012 5512 Quail Hollow Drive FAX: 919-956-7703 Township: Little River Expiration: 06/30/2016 Hillsborough NC 27278 E-mail:susiedeter @yahoo.com Resid/Spec Req: At-Large Number of Terms: 1 Special Repr: At-Large Ms GLenda FLoyd Day Phone: 812-205-6595 Sex: Female First Appointed: 11/17/2015 10 Training Term Evening Phone: 812-205-6595 Race:Caucasian Current Appointment: 11/17/2015 103 Culbreth Rd FAX: Township: Chapel Hill Expiration: 11/17/2016 Ghapel Hill NC 27516 E-mail:gkf1121@gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: At-Large Tuesday,April 05,2016 Page 2 4 Board and Commission Members And Vacant Positions Nursing Home Community Advisory Committee Meeting Times: 5:30 pm Every other 1st Tuesday starting with Jan. Terms: 2 Contact Person: Carolyn Pennington Meeting Place: United Church of CH-1321 ML King Blvd Positions: 12 Length:3 years Contact Phone: 919-558-2703 Description: All appointments are made by the Board of Commissioners.This committee helps to maintain the intent of the Residents`Bill of Rights,promotes community involvement and provides public education on long-term care issues. The regional ombudsman with Triangle J Council of Governments provides specialized training and support. Mrs. Maria Hardin Day Phone:9197326589 Sex: Female First Appointed: 02/16/2016 Evening vening Phone:9197326589 Race:Caucasian Current Appointment: 03/22/2016 2026 Black Walnut Farm Road FAX: Township: Eno Expiration: 12/31/2016 Hillsborough NC 27278 E-mail:mariaahardin @gmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Ms. Vibeke Talley Day Phone:919-732-3112 Sex: Female First Appointed: 05/20/2014 12 Evening Phone:919-732-3112 Race:Caucasian Current Appointment: 05/20/2014 134 East Tryon Street FAX: 968-2017 Township: Hillsborough Expiration: 12/31/2016 Hillsborough NC 27278 E-mail:vibandjoe@hotmail.com Resid/Spec Req: At-Large Number of Terms: Special Repr: Nursing Home Administration Tuesday,April 05,2016 Page 3 5 March 29, 2016 To: Orange County Board of Commissioners From: Teri Driscoll, Chair Nursing Home Community Advisory Committee Re: Appointment of ED FLOWERS On behalf of the Orange County Nursing Home Community Advisory Committee I would like to take the opportunity to recommend Ed Flowers for an appointment on our committee. Mr. Flowers has served on our committee in the past and served as Chair for many years. I actually took over for him as Chair when he was a patient in one of our nursing homes and learned quite a bit from this experience. He was certainly wonderful to work with, is very dedicated and has a passion for ensuring that long term care residents receive the best quality of care in a safe living environment. He would be an excellent choice for this committee and there is no better of a candidate than to have someone that already has the knowledge of what needs to be done. Please let me know if you need any additional information to move this recommendation forward. 6 Applicant Interest Listing by Board Name and by Applicant Name Contact Person: Carolyn Pennington Nursing Home Community Advisory Committee Contact Phone: 919-558-2703 Mrs Judith Causey Day Phone: 9192604249 Sex: Female 2621 Beavertail Dr Evening Phone: 9192604249 Race: Caucasian Hillsborough NC 27278 Cell Phone: 9192604249 Township: Hillsborough E-mail: judithcausey@hotmail.com Res.Eligibility: Date Applied: 01/25/2016 Skills: Also Serves On: Mr Elijah(Ed) Flowers Day Phone: 919-357-9256 Sex: Male 2813 Beckett's Ridge Drive Evening Phone: 919-357-9256 Race: Caucasian Hillsborough NC 27278 Cell Phone: Township: Hillsborough E-mail: ed flowers @yahoo.com Res.Eligibility: Date Applied: 02/29/2016 Skills: Children's Issues Also Serves On: Advisory Board on Aging Skills: Nuclear Physicist Tuesday,April 05,2016 Page 1 of 1 7 Page 1 of 2 Judith Causey Volunteer Application Orange County Advisory Boards and Commissions Name: Mrs Judith Causey Name Called: Home Address: 2621 Beavertail Dr Hillsborough NC 27278 Phone (Day): 9192604249 Phone (Evening): 9192604249 Phone (Cell): 9192604249 Email: judithcausey @hotmail.corn Place of Employment: Retired. UNC Job Title: RN Center For Excellence Year of OC Residence: 1999 Township of Residence: Hillsborough Zone of Residence: Sex: Female Ethnic Background: Caucasian Community Activities/Organizational Memberships: Active RN License PHRC MADD Past Service on Orange County Advisory Boards: None Boards/Commissions applied for: Nursing Home Community Advisory Committee Background, education and experience relevant to this board: I am 77. I have interacted with and nursed many geriatric patients. I have. Visited many long term care facilities. I have placed patients into long term care facilities &continued to supervise care &services on site Reasons for wanting to serve on this board: Serve in some capacity to help Orange County to be first class in services offered our citizens. Conflict of Interest: Adult Care Home Community Advisory Committee Background, education and experience relevant to this board: Interacted with & nursed many seniors. I am a senior in good health Reasons for wanting to serve on this board: I have an interest in helping our citizens to age in their own homes Conflict of Interest: Supplemental Questions: 8 Page 2 of 2 Judith Causey Other Comments: This application was current on: 1/25/2016 11:39:33 PM Date Printed: 2/1/2016