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HomeMy WebLinkAboutPruitt Carolina Point 2019-02-19 Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Facility Type: Nursing Home Facility Name/Address: Pruitt Carolina Point 5935 Mt. Sinai Rd, Durham, NC 27705 Visit Date: 02/19/2019 Time spent in facility: 2 hr Arrival time: 2:15PM Name of person exit interview was held with Michael McMorris, Administrator Interview was held: In Person Committee Members Present: Martha Bell, Carol Kelly, Jerry Ann Gregory Report Completed by: Martha Bell Number of Residents who received personal visits from committee members: 14 (2 family members; 12 residents) Resident Rights Information is clearly visable: Yes Ombudsman Contact Info is correct and clearly posted: Yes The most recent survey was readily accessible: YES (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 Remarkable change – clean clothing; no odors, well groomed 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 One resident mentioned how a nursing assistant was particularly helpful and gentle when helping him use his electric shaver. However he was also noted to have long fingernails which he said “hurt;” said he needed to have toenails cut, but no one had done it. One resident was noticed to have a bow missing from his glasses frame which made using the glasses difficult and tilted. He told the committee member it wasn’t a bother though since he often did not wear them. The resident would need to pay for the cost of new frames. 3. Did you see or hear residents being encouraged to participate in their care by staff members? N/A 4. Were residents interacting with staff, other residents & visitors? Yes Hallway chats and friendly greetings noticeable 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? N/A Resident Living Accommodations Yes/No/NA Comments/Other Observations 8. Did residents describe their living environment as homelike? N/A 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? 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? NO YES One resident remarked her undergarments were changed only after 14 hours; often waiting 2 plus hours for call light answer on night shifts Several residents commented about staff wearing ear “pods” connected to what appeared like personal cell phones; attributable to staffing numbers, which while posted were felt by some residents to be inadequate especially at night. 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 Although choices were asked, 3 residents felt the group activities were not to their liking, too simple and/or uninteresting 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 17. Are residents asked their preferences about meal/snack choices? Are they given a choice about where they prefer to dine? YES YES Four residents complained food was poor 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? N/A 20. Does the facility have a Resident’s Council? Family Council? No  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? Activities Personal Care: Finger and toenail care needed Staffing: Not enough especially night shift; noticed use of ear pods despite NHA stress not to use personal cells while on duty YES YES YES YES YES Staff & residents very positive comments re: new NHA: “he listens to me.” Remarkable change. Two had been elsewhere and mentioned “this was the best.” Need activities more individualized for those not interested in “group” sessions, e.g. bingo. NHA confirmed clipping of finger nails was within CAN scope of practice.; said he would check about the resident’s care. He also thought since a dental event had recently happened , a podiatry visit was shortly expected. Several residents concerned not enough staff present especially at night. NHA emphasized he noted use of personal devices; said he was working hard to change habits; said staff knew the use of items would be grounds for dismissal; agreed personal habits difficult to change. Members suggested might be helpful if rounds were made by NHA on shifts other than day, also on weekends/holidays. General appearance throughout facility noticeably improved; little odor, all visited areas clean; staff observed using correct hand hygiene. D, Housekeeping lauded by members. Staff grieving recent death of Director of Nursing. Poster placed at front entrance with photo of DON; signed by many staff. All were encouraged to add comments. However, none of the residents visited had noted any decrease in staff interest for their needs. Interim DON in place. Top Copy is for the Regional Ombudsman’s Record. Bottom Copy is for the CAC’s Records.