HomeMy WebLinkAboutCarol Woods 2018-08-15
Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home Nursing Home
Adult Care Home Combination Home
Facility Name/Address:
Carol Woods CCRC
750 Weaver Dairy Rd.
Chapel Hill, NC 27514
Visit Date: 8 /15 / 2018 Time spent in facility: 1 hr 15 min Arrival time: 10 AM
Name of person exit interview was held with: Melanie Johnson Interview was held: in Person
Admin. SIC (Supervisor in Charge) Other Staff Rep.
Committee Members Present: Susie Deter, Jacqulyn Podger
Report Completed by: Jacqulyn Podger
Number of Residents who received personal visits from committee members: 6
Resident Rights Information is clearly visable: Yes Ombudsman Contact Info is correct and clearly posted: Yes
The most recent survey was readily accessible: No
(Required for Nursing Homes Only)
Staffing information clearly posted: Yes
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
Observed very kind staff interaction with
cognitively impaired resident. Other positive
staff/residents interactions were also observed.
6. Did you observe restraints in use? NO
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
11. Did residents feel their living areas were too noisy? NO
12. Does the facility accommodate smokers?
Where ? X Outside only 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
N/A
17. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
YES
Resident complained her poached eggs were not
prepared to her liking. When asked if she had
indicated her preferences to the kitchen, she
indicated she had not. Another resident
complained hot meals were often served cold,
and reheating was not an acceptable option.
Both complaints were shared with the SIC.
One resident indicated she was a vegetarian and
the staff had been very accommodating with meal
and snack choices.
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. Does the facility have a Resident’s Council?
Family Council?
YES
Referenced last report.
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?
The survey book was not displayed at the entry to
the floor. Survey book was retrieved from the top
of the file cabinet.
In two of the pods, it was noted the clean linen
doors were not latched.
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.