HomeMy WebLinkAboutCarillon 2019-05-07Community 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 62 total 33 AL 23 MC (96 licensed)
Visit Date: 05/06/2019 Time spent in facility: 1 hr. Arrival time: 10:10 X am pm
Name of person exit interview was held with: Briana ________ X Admin. Interview was held: _X in Person Phone
SIC (Supervisor in Charge) Other Staff Rep. Pamela Sullivan RN (Name & Title)
Committee Members Present: Bill Morgan and Gloria Brown Report Completed by: Gloria Brown
Number of Residents who received personal visits from committee members: 4
Resident Rights Information is clearly visible: X Yes No Ombudsman Contact Info is correct and clearly posted: X Yes _ No
Add “Cox”
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 engaged getting some
residents ready for the day, early risers were up,
out and about. Some MC residents were watching
TV and others reading magazines.
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. Joyce was back after being out for
a week. So the routine was getting back to
normal.
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 PLUS they have a new chef and
he was able to make a special choice for his eggs
vs. scrabbled. Several (3) commented who were
playing Dominos in the rec/arts room about food.
Residents run a Book Club and Spiritual Club.
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 In-side 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 lot of outings in the community
now that the weather is nice, A Carillon newsletter in
the lobby, Today’s Activities and Today’s 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. (I didn’t see the snacks
& water as the day was still early but water is available
at the medical station.
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.