HomeMy WebLinkAboutCarol Woods 2018-10-29
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: 10/29/18 Time spent in facility: 1 hr 10 min Arrival time: 10:00 X am pm
Name of person exit interview was held with: Interview was held: X in Person Phone
Admin. SIC (Supervisor in Charge) X Other Staff Rep. Debbie Every, Nursing Engagement Coach
Committee Members Present: Jackie Podger, Molly Stein, Susie Deter
Report Completed by: Susie Deter
Number of Residents who received personal visits from committee members: 8 residents & 1 family member
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 No
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? N/A
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* 8.* One resident stated that she felt like she was
in jail. When queried, she wished that she could
eat her meals with others. Even in the pod dining
room she eats alone, and would like to interact
with others.
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 soiled linen closet door left ajar.
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 * 13. One resident wished she could have a call
bell on her person/around her neck. Discussed
with Nursing Engagement Coach who did not
know of any regulations preventing this.
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*
Yes
17. One resident stated that the food is becoming
worse. He said the problem is in the preparation,
and it is inedible. He is supposed to gain weight
but cannot because he can’t eat the food.
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
No*
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.
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 3rd floor is in need of paint, especially the dining room in the Wren pod.
Yes Discuss items from “Areas of Concern” Section
as well as any changes observed during the visit
A family member related that the services
provided were very good, especially the laundry
services. Clothing items were cleaned and
returned quickly.
One resident was concerned that the thermostat
in her room was not working properly, and she
felt cold in the room. She said a work order had
been placed to fix it.
One resident liked the care she was getting, but
was concerned about staff changes and having to
deal with new people.
Team showed Nursing Engagement Coach some
of the areas needing paint at the conclusion of
the exit meeting.
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.