Loading...
HomeMy WebLinkAboutSignature 2018-09-11 Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Family Care Home Nursing Home X Adult Care Home Combination Home Facility Name/Address: Signature Healthcare of Chapel Hill 1602 E Franklin St, Chapel Hill, NC 27514 Visit Date: 09/11/2018 Time spent in facility: 1 hr 10 min Arrival time: 4:30pm Name of person exit interview was held with: Onjaleka White-Franks, DON Interview was held: in Person X Committee Members Present: Stephanie Boswell, Vibeke Talley Report Completed by: Vibeke Talley Number of Residents who received personal visits from committee members: 5 Resident Rights Information is clearly visible: Yes X No Ombudsman Contact Info is correct and clearly posted: Yes X No The most recent survey was readily accessible: Yes X No (Required for Nursing Homes Only) Staffing information clearly posted: Yes X 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? NA 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? NA 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? NA 9. Did you notice unpleasant odors in commonly used areas? No 10. Did you see items that could cause harm or be hazardous? Yes* 10: One door to a bio-hazard trash storage room was left unlocked. 11. Did residents feel their living areas were too noisy? No 12. Does the facility accommodate smokers? Where? Outside only Inside only Both Inside/Outside Yes. Outside only 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? Yes Yes 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. Does the facility have a Resident’s Council? Family Council? Yes No* 20. DON reported that several families are in the process of organizing a 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? - Door to bio-hazard closet not locked Discuss items from “Areas of Concern” Section as well as any changes observed during the visit - DON made aware of unlocked door to bio- hazard closet. Informed her that it had been an issue at visit in June. - One resident stated that she had expected to receive physical therapy to improve her mobility and according to her she did not receive physical therapy for mobility. This was brought to the attention of the DON. - Discussed the facility’s readiness for an approaching hurricane. The DON stated that the generators were ready and fueled, there was extra medicines and food, staffing had been increased and as resident census was low the facility was able to offer staff to stay at facility during the storm. So DON felt the facility was prepared for the hurricane. 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.