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HomeMy WebLinkAboutCrescent Green 2017-06-17 Community Advisory Committee Quarterly/Annual Visitation Report County: ORANGE 624 Jones Ferry Rd Carrboro, NC Facility Type Family Care Home Adult Care Home Nursing Home Facility Name: Crescent Green Assisted Living Community Census: 88/120 Visit Date and day of the week Friday, June 16, 2017 Time spent in facility 75 minutes Arrival time 1:00PM Name of person(s) with whom exit interview was held Doris Coleman Interviews were held in person: Yes Committee members present: Cresha Cianciolo, Suzanne Haff, Michael Joseph and Yvonne Mendenhall Number of residents who received personal visits from committee members: Approx. 19 Report completed by: Cresha Cianciolo Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: No (posted, but incorrect Ombudsman named) The most recent survey was readily accessible (Required for NHs only – record date of most recent survey posted) : N/A Staffing information clearly posted? No Resident Profile Yes No N/A Comments/Other Observations (please number comments) 1. Do the residents appear neat, clean and odor free? Yes 1. More residents were visible and actively walking down the halls than previous visits. 2. The resident (with restricted movement) who shared at the last visit that he is unable to obtain assistance during the night to empty his urinal indicates that there has been no improvement 4. More staff members were seen at this visit and some were assisting residents with walkers. 5a. No staff members had name tags. “There aren’t any. It’s just not done here” per the new administrator. 2. Did residents say they receive assistance with personal care activities? (i.e. brushing their teeth, combing their hair, inserting dentures or cleaning their eyeglasses) No 3. Did you see or hear residents being encouraged to participate in their care by staff members? No 4. Were residents interacting with staff, other residents & visitors? Yes 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? Yes 5a. Did staff members wear nametags that are easily read by residents and visitors? No 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? (note: Do not ask about confidential information without consent) N/A Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? No 8. A bedroom on the men’s hall was being evacuated due to bedbugs. The room was in “isolation”. The State guidelines were being followed and many room fixtures were already in the ‘hot box’ being treated. The two affected men were to be showered and moved to a different room until the issue was resolved. CAC members noted that the temperature and humidity in this wing was uncomfortably high, though no 9. Did you notice unpleasant odors? Yes 10. Did you see items that could cause harm or be hazardous? No 10a. Were unattended med carts locked? Yes 10b. Were bathrooms clean, odor-free and free from hazards? Yes 10c. Were rooms containing hazardous materials locked? Yes 11. Did residents feel their living areas were kept at a reasonable noise level? Yes 12. Does the facility accommodate smokers? Yes 12a. Where? (Outside / inside / both) N/A 13. Were residents able to reach their call bells with ease? N/A 14. Did staff answer call bells in a timely & courteous manner? N/A 14a. If no, did you share this with the administrative staff? N/A residents complained. 9. The heavy perfume odor upon entry to the facility was not present. However, an odor was noted down the hall where a resident’s possessions were bagged for decontamination (see above). 10. It was noticed that handrails along one corridor were sticky. 10c. One “Authorized Personnel Only’ storage closet was unlocked. This was reported to the person in charge. 12a. A gazebo is provided outside for smokers. Resident Services Yes No N/A Comments/Other Observations (please number comments) 15. Were residents asked their preferences or opinions about the activities planned for them at the facility? Yes 15a. There were no activities during the visit but the daily options were posted. The activities director has broken her arm and someone else is filling in. Per staff, events are well attended by residents. Birthdays for the month of June were acknowledged and posted. 17. One resident had just returned from town via public transportation and had ‘missed’ lunch. Staff was able to provide her with a late lunch. 17c. There is no fresh ice water available 15a. Was a current activity calendar posted in the facility? Yes 15b. Were activities scheduled to occur at the time of your visit actually occurring? No 16. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? Yes 16a. Can residents access their monthly needs funds at their convenience? (#16 and 16a pertain only to residents on Medicaid/Special Assistance. NHs $30 per month. ACHs $66 minus medication co-pay and full cost OTC drugs) Yes 17. Are residents asked their preferences about meal & snack choices? (Adult Care Home residents should receive snacks 3X per day. Nursing Home residents should be offered snacks at bedtime.) No 17a. Are they given a choice about where they prefer to dine? Yes 17b. Did residents express positive opinions regarding their dining experience (the food provided)? Yes 17c. Is fresh ice water available and provided to residents? No 18. Do residents have privacy in making and receiving phone calls? Yes 19. Is there evidence of community involvement from other civic, volunteer or religious groups? No 20. Does the facility have a functioning: Resident’s Council? Family Council? Yes No Areas of Concern Exit Summary Are there resident issues or topics that need follow-up or review at a later time or during the next visit? Areas of Prior Concern: -Lack of nighttime monitoring -Strong urine odor on one or two women residents -Inability to get additional beverages at meals Present Areas of Concern -Lack of nighttime monitoring -Lack of nametags -Bedbugs -Uncomfortable temperature/humidity -Sticky handrails Discuss items from “Areas of Concern” Section as well as any changes observed during the visit. Give summary of visit with Administrator or SIC. Does the facility have needs that the committee or community could help address? The committee met with Doris Coleman, Administrator, at the beginning and end of the visit. The entire atmosphere of the facility has changed since her arrival and our last visit. She shares that the QuickMAR system, with which she has experience, has simplified medication administration. Medical records are mandated to be kept electronically by 2018 and they are working on that now. Ms. Coleman has had all staff read and sign the Residents Bill of Rights and is working on programs to increase their knowledge base. Regarding #2,-Ms. Coleman will speak to the night staff to ensure when they do their rounds every 2 hours that they specifically check urinals. Regarding #5a-Ms. Coleman acknowledges that nametags are an issue and efforts to change this will be done when the ‘time is right’. She is carefully and steadfastly working on small changes one step at a time. Regarding #8-The State mandated protocol is being followed regarding eradication of bed bugs. The affected residents have been removed from their room until such time that the room is considered clean. Ms. Coleman states that the temperature, humidity issue is due to the residents not adjusting the thermostats appropriately. The staff frequently has to readjust the settings. Regarding #10-Ms. Coleman indicates that the handrails are wiped down nightly and the stickiness is noted daily after meals.