Loading...
HomeMy WebLinkAboutCarillon 2018-10-29Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Family Care Home Nursing Home X Adult Care Home Facility Name/Address: Carillon of Hillsborough 1911 Orange Grove Road Hillsborough NC 27278 CENSUS 54 total 33 AL 21 MC (96 licensed) Visit Date: 10/29/2018 Time spent in facility: 1 hr. 10 min Arrival time: 3:10 am X pm Name of person exit interview was held with: Laurie Sawyer Interview was held: _X in Person Phone X Admin. SIC (Supervisor in Charge) Other Staff Rep. Pamela Head Nurse RN (Name & Title) Committee Members Present: Will Lang and Gloria Brown Report Completed by: Gloria Brown Number of Residents who received personal visits from committee members: 5 Resident Rights Information is clearly visible: X Yes No Ombudsman Contact Info is correct and clearly posted: X Yes _ No The most recent survey was readily accessible: Yes No (Required for Nursing Homes Only) Staffing information clearly posted: Yes X No Leadership have name badges but no roster as to who is on duty for the shift 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 2..Memory Care residents were neat and clean and their rooms were being made up, after lunch and shift change so most were resting in their rooms. 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 4. Memory Care: staff telling residents that they would see them tomorrow; explaining their shift was over. Some MC residents watched a travel series on TV. 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? Yes 5. Memory Care staff seem very familiar with residents’ daily routines and appear very engaged with residents. 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? NA Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? Yes 8. One resident states that he loves the care that he receives here. 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 11. Variety of areas for quietness around the AL and MC centers. 12. Does the facility accommodate smokers? Where? Outside only Inside only Both Inside/Outside Regulations permit smoking only outside the building. NA 12. No residents were smoking anywhere around the facility. 13. Were residents able to reach their call bells with ease? Yes 13. Residents all have call bell necklaces. 14. Did staff answer call bells in a timely & courteous manner? If no, did you share this with the administrative staff? NA NA 14. No call bells heard during visit. 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 15 .A variety of activities are posted on a monthly calendar including a notice for curbside Voting 10-30- 18, as well as a daily news sheet and meal menu for the day.  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? NA NA Most residents are private pay.  Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? Yes Yes Snacks & Fresh Water (with citrus fruit) are available in the hallway near the dining room. Residents may request service in their rooms.  Do residents have privacy in making and receiving phone calls? Yes  Is there evidence of community involvement from other civic, volunteer or religious groups? Yes Event calendar indicates volunteers lead activities including religious services for many faiths.  Does the facility have a Resident’s Council? Family Council? Yes Yes 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 concerns. No Discuss items from “Areas of Concern” Section as well as any changes observed during the visit. No concerns. 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.