HomeMy WebLinkAboutCarillon 2019-08-17Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home Nursing Home
X Adult Care Home
Facility Name/Address: Carillon
1911 Orange Grove Rd
Hillsborough NC 27278
?? enrolled 96 licensed and 24 in Memory Care
Visit Date: 8/17/2019 Time spent in facility: 1 hr. Arrival time: 11:20 a.m.
Name of person exit interview was held with: Deborah __________________ , Director of Memory Care Interview was held: x in Person
(Name & Title)
Committee Members Present: Gloria Brown, Bill Morgan, Joan Rehm
Report Completed by: Joan Rehm
Number of Residents who received personal visits from committee members: 10 - 12
Resident Rights Information is clearly visible: X Yes Ombudsman Contact Info is clearly posted; need to correct Autumn Cox’s
name
The most recent survey was readily accessible: Yes No
(Required for Nursing Homes Only)
Staffing information clearly posted: No
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free?
Yes
All the residents appeared neat, clean, and odor
free. In the Memory Care unit, the residents were
gathering for lunch in the dining room and most
sat with other residents; staff nicely attending to
each. Resident rooms appeared nicely kept with
beds made. In the main dining room, residents
were greeted individually by staff as they arrived
and asked about food preferences. Some
residents were interacting with one another at
tables; other sat by themselves. Again, resident
rooms appeared nicely kept. Hallways bright with
attention to sensory stimulation – bright signs,
posters, announcements, etc.
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
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? No
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? Yes Residents expressed pleasure in living in this
environment and that needs were being met.
Today’s meal menu was in large type and placed
low enough on the wall that it would have been
easily readable from a wheel chair.
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?
Where? Outside only Inside only Both Inside/Outside
No
13. Were residents able to reach their call bells with ease? Yes Saw several residents wearing call buttons.
14. Did staff answer call bells in a timely & courteous manner?
If no, did you share this with the administrative staff?
NA
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
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?
DK
DK
17. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
Yes
Alternative items are posted on the daily posted
menu items and snack for the day. In addition,
staff asked residents their preferences on the way
into the dining rooms.
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?
?
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 One resident pointed out that some of the canned
lighting fixtures in the dining room were subtly
flickering, which he found distressing and
worrisome (stating that maybe it could lead to a
fire). Lighting issue pointed out to Deborah
before leaving and she said she would address.
We also found a storage room door unlocked and
unable to be locked (the latch/bolt on the door
was taped over not allowing engagement of the
lock). Deborah immediately went to storage
room, removed tape and locked the room. She
said she would discuss this with staff.
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.