HomeMy WebLinkAboutBrookshire 2020-01-07
Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home X Nursing Home
Adult Care Home Combination Home
Facility Name/Address: Peak Resources Brookshire 300 Meadowland Dr
Hillsborough, NC 27278
Visit Date: 01/07/2020 Time spent in facility: 1 hr 44 minutes Arrival time: 10:57 am
Name of person exit interview was held with Administrator Interview was held: X in Person
Committee Members Present: Jerry Ann Gregory, Linda Davis Report Completed by: Linda Davis
Number of Residents who received personal visits from committee members: 7
Resident Rights Information is clearly visable. X Yes No Ombudsman Contact Info is correct and clearly posted: Yes No X
The most recent survey was readily accessible: X Yes No
(Required for Nursing Homes Only) Staffing information clearly posted: X Yes No
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free? Yes
2. Did residents say they receive assistance with personal care ac-
tivities? Ex. brushing their teeth, combing their hair, inserting
dentures or cleaning their eyeglasses?
Yes*
2. A resident stated she felt she was not listened
to, yelled at, and was fearful at night by how she
was handled physically by aides in her position-
ing in bed.
Another resident stated he was told to empty
own urinal.
Residents stated aides had attitudes, and there
was problems with aides hired.
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? 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
10. Did you see items that could cause harm or be hazardous? Yes* 10. Mechanical room door unlocked. Med cart
unlocked at nurses station without attendance.
11. Did residents feel their living areas were too noisy? No
12. Does the facility accommodate smokers? Where? Outside only
13. Were residents able to reach their call bells with ease? No 13- Some residents were observed not being
able to reach their call bells.
14. Did staff answer call bells in a timely & courteous manner? If no,
did you share this with the administrative staff? No* 14-Complaints by a few residents there was de-
lay in call bell response 30 min to 1 hr at times
Resident Services Yes/No/NA Comments/Other Observations
15. Were residents asked their preferences or opinions about the ac-
tivities 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 ac-
cess 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. Several complaints about food, cold, others
said good choices. One resident stated 40
pound weight loss since admission.
18. Do residents have privacy in making and receiving phone calls? Yes
19. Is there evidence of community involvement from other civic, vol-
unteer or religious groups?
Yes
20. Does the facility have a Resident’s Council? Family Council? 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?
Call Bell response times.
Resident satisfaction with Food.
Ombudsman display needs updated phone number and Name.
Discuss items from “Areas of Concern” Section
as well as any changes observed during the
visit.
Exit interview conducted with Administrator:
Informed need to update Ombudsman Infor-
mation.
Discussed resident complaints about call bell re-
sponse times and complaints about aides.
Advised about Mechanical room and Med cart
unlocked.
Discussed a resident fear of not being listened
to and physical assistance. Resident name was
not shared per resident request.
Some positive remarks from residents about
nice people overall, receptive to issues, exercise
program good, a nice place.
Reassured by Administrator that the Director of
Nursing is involved in addressing any issues
with aides.
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.