HomeMy WebLinkAboutCrescent Green 2019-07-03Community 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: 78/120
624 Jones Ferry Rd, Carrboro, NC 27510
Visit Date: 07 / 03 / 2019 Time spent in facility: 0 hr 50 min Arrival time: 8:50 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. Doris Coleman (Name & Title)
Committee Members Present: Michael Zuber, Joan Rehm Report Completed by: Michael Zuber
Number of Residents who received personal visits from committee members: 8
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. Upon our arrival, the staff were diligently
working to feed residents and keep them clean.
3. We witnessed residents being assisted by staff
outside to enjoy fresh air and exercise.
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?
N/A
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? Yes
8. Residents decorated their rooms with personal
items and pictures. The facility appeared clean
and odor free.
9. Chemicals were not accessible to residents.
Rooms were being cleaned and all chemicals
were monitored by staff.
8. Did you notice unpleasant odors in commonly used areas? No
9. Did you see items that could cause harm or be hazardous? No
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?
Yes
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?
With 4-6 emergency exit doors accessible at all times, two residents
complained about the lack of security. This should be addressed at the next
visit.
Yes Discuss items from “Areas of Concern” Section as
well as any changes observed during the visit
Follow-up from last visit: Doris addressed the
following follow-up issues discovered during
previous visits: bed bugs, bathing privacy, and
distribution of meds. Doris agreed on the
importance of privacy during showers and will
make sure all stalls receive a curtain. She
mentioned mattresses are preemptively sprayed
twice a month for bed bugs. She stated that staff
distributes medicines to residents within a two-
hour window of when due, and that each resident
must finish taking all prescribed meds before staff
can begin to distribute meds to another resident.
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.