HomeMy WebLinkAboutCrescent Green 2019-04-27Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange County Facility Type:
Adult Care Home
Family Care Home Nursing Home
Facility Name/Address: Crescent Green Census: 80/120
624 Jones Ferry Rd, Carrboro, NC 27510
Visit Date: 04 / 27 / 2019 Time spent in facility: 1 hr 0 min Arrival time: 2:00 am pm
Name of person exit interview was held with: Jennifer Interview was held: in Person Phone
Admin. SIC (Supervisor in Charge) Other Staff Rep. (Name & Title)
Committee Members Present: Michael Zuber, Joan Rehm Report Completed by: Michael Zuber
Number of Residents who received personal visits from committee members: 7
Resident Rights Information is clearly visable: Yes No Ombudsman Contact Info is correct and clearly posted: Yes No
The most recent survey was readily accessible: Yes No
(Required for Nursing Homes Only)
Staffing information clearly posted: Yes No
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free? Yes 1. Generally, the residents appeared well taken
care of by staff. The staff were doing a good job
cleaning rooms and serving the residents. During
our visit, the staff were clearly visible and working
hard to care for the residents.
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? No
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? 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? No 8. Residents decorated their rooms with
personal items and pictures.
Many residents were outside enjoying the warm
weather.
9. Chemicals were not seen or accessible to
residents.
8. Did you notice unpleasant odors in commonly used areas? No
9. Did you see items that could cause harm or be hazardous? Yes
10. Did residents feel their living areas were too noisy? No
11. Does the facility accommodate smokers?
Where? Outside only Inside only Both Inside/Outside
Yes
12. Were residents able to reach their call bells with ease? N/A
13. Did staff answer call bells in a timely & courteous manner?
If no, did you share this with the administrative staff?
N/A
N/A
Resident Services Yes/No/NA Comments/Other Observations
14. Were residents asked their preferences or opinions about the
activities planned for them at the facility?
Yes
16. Residents have the freedom to leave the
facility throughout the day.
Residents have the option of installing a lock on
their closet door to protect and secure personal
items.
18. A private room for making phone calls is
available near the community T.V. rooms.
15. 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. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
No
Yes
17. Do residents have privacy in making and receiving phone calls? Yes
18. Is there evidence of community involvement from other civic,
volunteer or religious groups?
No
19. Does the facility have a Resident’s Council?
Family Council?
Yes
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?
Follow-up from last visit: During the next visit, the committee
representatives are encouraged to speak with the administrator about the
status of bed bugs and their procedures for securing prescription drugs.
Follow-up from this visit: Procedures for protecting residents’ privacy while
bathing should be discussed.
Yes Discuss items from “Areas of Concern” Section as
well as any changes observed during the visit
Generally, the cleanliness, appearance and
general mood was greatly improved compared to
prior visits.
We noticed the men’s bathrooms are not
equipped with shower curtains, unlike the
women’s bathrooms. Some residents revealed
discomfort with the bathing process because the
door is often unlocked or opened to those passing
in the hallway. Residents may overlap while one
bathes and another dries off, leaving them feeling
exposed. Jennifer was unaware of the bathing
procedures and we agreed to discuss this with
management.
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.