HomeMy WebLinkAboutCarol Woods 2019-03-12Community Advisory Committee Quarterly/Annual Visitation Report
County: ORANGE Facility Type:
Family Care Home Nursing Home
XX Adult Care Home
Facility Name/Address: Carol Woods
750 Weaver Dairy Rd
Chapel Hill NC 27516
Visit Date: 03/12 /19 Time spent in facility: 1 hr 0 min Arrival time: 2:15 pm
Name of person exit interview was held with: Bethany Beale, Interview was held: xx in Person
Admin. Assisted Living Coordinator
Committee Members Present: Yvonne Mendenhall, Nancy McCormick, Shade Little
Report Completed by: Yvonne Mendenhall
Number of Residents who received personal visits from committee members: 4
Resident Rights Information is clearly visible: XX Yes Ombudsman Contact Info is correct and clearly posted: XX Ye (One of the
postings was updated with contact information by a CAC member while on
site.
The most recent survey was readily accessible: Yes No
(Required for Nursing Homes Only) N/A
Staffing information clearly posted: XX Yes
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free? YES 1-Outstanding
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
4-A group had formed in the lounge area and was
engaged in a lively discussion with visitors and
staff
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? NA
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? YES
9. Did you notice unpleasant odors in commonly used areas? NO 9-It is a beautiful facility warm and comfortable
and very clean
10. Did you see items that could cause harm or be hazardous? NO
11. Did residents feel their living areas were too noisy? NO 10-It is very quiet in the Assisted Living areas
12. Does the facility accommodate smokers?
Where? Outside only Inside only Both Inside/Outside
12-No smokers were observed at this visit
13. Were residents able to reach their call bells with ease? YES 13-Personal “alarm callers” are worn by most
residents
14. Did staff answer call bells in a timely & courteous manner?
If no, did you share this with the administrative staff?
YES
NA
14-No alarms were heard at this 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-Residents are actively involved in their
activities and programs
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
16-There is a resident refrigerator in the facilities
where residents can request specific food
purchases. The items are ordered online and
delivered. The food is labeled and can be
accessed by residents who can also do some
simple cooking for themselves.
17. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
YES
YES
17-The dining areas have several spaces for
dining, even outdoors, on sunroom type settings.
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 19-There is considerable community involvement
and community is even invited to some of their
programs and lectures.
20. 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 issues, Carol Woods is a fine example of congregate living done well for
the residents, their families and the community.
NO Discuss items from “Areas of Concern” Section as
well as any changes observed during the visit
No changes, all very positive.
This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.