Loading...
HomeMy WebLinkAboutSignature 2019-06-25Community Advisory Committee Quarterly/Annual Visitation Report County: Orange Co Facility Type: Family Care Home Nursing Home Adult Care Home Facility Name/Address: Signature Nursing Home 1602 E. Franklin St. Chapel Hill, N 27514 Visit Date: 6/25/2019 Time spent in facility: 1 hr 5 min Arrival time: 1 : 30 am pm Name of person exit interview was held with: Interview was held: in Person Phone Admin. SIC (Supervisor in Charge) Other Staff Rep. Carissa Campbell, MSW Committee Members Present: Bill Morgan, Stephanie Boswell Report Completed by: Bill Morgan Number of Residents who received personal visits from committee members: 6 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. Most residents were up and dressed when we visited 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. Most residents were up and dressed, and clean when we visited. Most residents indicated they received care they needed. One resident indicated that they had a negative experience with one of the staff hired in the facility. The resident indicated that the staff member did was abrupt and curt. The resident indicated that they felt comfortable in addressing their concerns with the administration but had not done so. The resident also indicated that the majority of staff who provide care do so in a professionally. 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 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? N/A 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 Facility looked and smelled 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 12. Does the facility accommodate smokers? Where? Outside only Inside only Both Inside/Outside Yes 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? Yes* * one resident indicated call times were slow on occasion but were usually quick. Other residents felt the response times were adequate, 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 Residents indicated that there were a variety of activities offered, and were encouraged to participate 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* 17* Residents reported being content with the food, and although they can select what option they want prior to the food being delivered. One resident indicated that the food service staff informed her she cannot request a different meal once the food is delivered in the future. (she asked for the other option after she realized she did not like the meal she originally ordered) 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 20. Does the facility have a Resident’s Council? Family Council? Yes Yes we met with a resident who indicated that they participated regular in resident’s counsel. A family member we talked to indicated they had received info on 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? N/a Discuss items from “Areas of Concern” Section as well as any changes observed during the visit 1. A resident reported that they were told they were not allow to change food choice once meals were delivered, 2. The negative experience with a CNA reported to us by a resident. This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.