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HomeMy WebLinkAboutCrescent Green 2017-09-22 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, Sept. 22, 2017 Time spent in facility 60 minutes Arrival time 2:15 PM Name of person(s) with whom exit interview was held Doris Coleman Interviews were held in person: Yes Committee members present: Cresha Cianciolo and Yvonne Mendenhall Number of residents who received personal visits from committee members: Approx. 9 Report completed by: Cresha Cianciolo Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: One posted, the other needs updated 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. Residents appeared clean and there were no urine odors on any that were spoken to. 3. One resident only took a few minutes to chat as she wanted to join a gathering of other residents for a visit. 4. Most of the staff was involved with a resident suffering from a medical event. Fire Department personnel were tending to the resident in a front living room. 5. During the exit interview (held in the dining room) a resident came and sat at our table. The administrator graciously asked him if he would sit somewhere else to allow us privacy. The resident appeared to have mental and verbal limitations. Although his speech was garbled, Doris was able to understand that he did not wish to move, so we relocated. Her interaction with this resident showed patience and understanding. 5a. None of the staff members had name tags. 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) N/A 3. Did you see or hear residents being encouraged to participate in their care by staff members? N/A 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. Several of the residents indicated that they were happy with the environment. However, the rooms 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 were somewhat dark due to limited lighting and having the curtains drawn. It is possible that it was due to the hot day. Another resident indicated that security of personal property was an issue. 10c. Rooms that were checked that should have been locked, were. 12a. A gazebo is outside and several residents were smoking. 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) Yes 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 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 15b. There were no activities during the visit but the daily calendar was posted. One resident indicated she was busy all the time. Work/activity sheets are passed out on Fridays so residents can be busy on the weekend. They do have to provide their own markers or pens. A new resident was excited that she would be able to teach others how to knit and crochet, though the facility will not be able to provide yarn. She had many art/craft projects in her room encouraged by the activities director 17. It was an exceptional day as the cook had recently resigned and Doris Coleman was personally working to ensure dinner was made. She was busily working in the kitchen. 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 -Lack of nametags -Bedbugs -Uncomfortable temperature/humidity -Sticky handrails Present Areas of Concern -Lack of cook -Lack of nametags -Possible loss of resident possessions 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, briefly at the beginning and more extensively at end of the visit. Doris and the facility were initially busy due to the presence of First Responders attending to a resident. High praise goes to Ms. Coleman for her quick handling of the lack of a cook. She just rolls up her sleeves and does whatever is necessary to keep things running smoothly. As a follow up to the previous issue to nighttime monitoring Ms. Coleman again confirmed that rounds are routinely conducted and urinals are being emptied. She shares that some residents urinate more than others. To manage the previous bedbug issue, a non-toxic chemical is now being used routinely and this process seems to be effective. When asked about the security of personal items, Ms. Coleman shared that they have cameras (12) located in all the public areas that shows up on a monitor, Films can be reviewed for any reported issues by date and time. Activities inside of rooms are not recorded.