HomeMy WebLinkAboutCarol Woods 2018-06-22
Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home X Nursing Home
Adult Care Home Combination Home
Facility Name/Address: Carol Woods/
750 Weaver Dairy Road, Chapel Hill, NC 27514
Visit Date: 6/22/18 Time spent in facility: 1 hr 15 min Arrival time: 10:00 X am pm
Name of person exit interview was held with: Interview was held: X in Person Phone
Admin. X SIC (Supervisor in Charge) Other Staff Rep. Melanie Johnson, Lead Engagement Coach
Committee Members Present: Jacqulyn Podger, Stephanie Miller, Susie Deter Report Completed by: Susie Deter
Number of Residents who received personal visits from committee members: 6 residents & 2 family members
Resident Rights Information is clearly visable: X Yes No Ombudsman Contact Info is correct and clearly posted: X Yes No
The most recent survey was readily accessible: X Yes No
(Required for Nursing Homes Only)
Staffing information clearly posted: X Yes N
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free? Yes
2. Did residents say they receive assistance with personal care
activities? Ex. brushing their teeth, combing their hair, inserting
dentures or cleaning their eyeglasses?
Yes
3. Did you see or hear residents being encouraged to participate in
their care by staff members? Yes
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
6. Did you observe restraints in use? No* 6. Carol Woods is a restraint free facility.
7. If so, did you ask staff about the facility’s restraint policies? N/A
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? Yes
9. Did you notice unpleasant odors in commonly used areas? No
10. Did you see items that could cause harm or be hazardous? No* 10. One linen door was not fully closed.
11. Did residents feel their living areas were too noisy? No
12. Does the facility accommodate smokers?
Where? Outside only X Inside only Both Inside/Outside
Yes
13. Were residents able to reach their call bells with ease? Yes
14. Did staff answer call bells in a timely & courteous manner?
If no, did you share this with the administrative staff?
Yes
Resident Services Yes/No/NA Comments/Other Observations
15. Were residents asked their preferences or opinions about the
activities planned for them at the facility?
Yes
16. Do residents have the opportunity to purchase personal items of
their choice using their monthly needs funds?
Can residents access their monthly needs funds at their
convenience?
N/A
17. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
Yes
Yes
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?
Yes 20. Since most residents are also living within the
greater Carol Woods community, the general
councils are considered to take the place of the
Family Council.
20. Does the facility have a Resident’s Council?
Family Council?
Yes
No*
Areas of Concern Yes/No/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later
time or during the next visit?
No Discuss items from “Areas of Concern” Section
as well as any changes observed during the visit
▪ All items from the Plan of Correction will
be finished by 6/30/18
▪ Carol Woods is changing its medical
records system on 7/10/18, with staff
training currently in process
▪ Residents & family members reported a
high level of satisfaction with the PT &
OT services provided
▪ One resident mentioned a glitch with
receiving medications when arriving, but
also stated the issue was resolved and
she felt heard and advocated for in the
process
This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.
Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.