HomeMy WebLinkAboutCarillon 2019-01-30Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home Nursing Home
X Adult Care Home
Facility Name/Address: Carillon
1911 Orange Grove Rd
Hillsborough NC 27278
59 enrolled 96 licensed and 24 in Memory Care
Visit Date: 1 /30 /2019 Time spent in facility: 1 hr. 15 min Arrival time: 2:00 pm
Name of person exit interview was held with: Brianna Southerland, New Admin.. Interview was held: x in Person
(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: 8
Resident Rights Information is clearly visible: X Yes Ombudsman Contact Info is correct and clearly posted: X No correct info
The most recent survey was readily accessible: Yes No
(Required for Nursing Homes Only)
Staffing information clearly posted: No
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free?
Yes
All the residents appeared neat, clean, and odor
free and enjoying their personal time in their room
or in the Memory Care Area.
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
We arrived during a shift change and in the
Memory Care Unit the staff were making sure that
the residents knew who was coming to care for
them.
4. Were residents interacting with staff, other residents & visitors? Yes In the entire center.
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
7. If so, did you ask staff about the facility’s restraint policies? No
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? Yes Residents shared how long they have been a
resident and that they like it feels like home.
9. Did you notice unpleasant odors in commonly used areas? No
10. Did you see items that could cause harm or be hazardous? No Doors are locks for cleaning chemicals and meds.
11. Did residents feel their living areas were too noisy? No Residents have plenty of places to go for a quiet
area.
12. Does the facility accommodate smokers?
Where? Outside only Inside only Both Inside/Outside
No
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?
NA
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 They can make suggestions on where they want
to go. I happened to see the Carillon bus stopped
at the Dollar Store in Hillsborough on my way to
visit.
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
Alternative items are posted on the daily posted
menu items and snack for the day. In the
assisted living area there is fresh water, fruit, and
healthy snacks in small bags.
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 The staff provide a lot of activities. We observed
the memory boxes that had resident’s names on
them and staff used this to help the residents
reflect.
20. Does the facility have a Resident’s Council?
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?
No Discuss items from “Areas of Concern” Section as
well as any changes observed during the visit.
Checked out with Brianna who was meeting with
another staffer. We advised no concerns and
gave her contact cards.
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.