HomeMy WebLinkAboutCarol Woods 2022-09-06 Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type: Facility Name/Address:
Family Care Home Nursing Home Carol Woods
Adult Care Home 750 Weaver Dairy Rd, Chapel Hill, NC 27514
Visit Date: 09/06/2022 Time spent in facility: 1 hr 30 min Arrival time: 3:30 am pm
Name of person exit interview was held with: Melanie Johnson Interview was held: in Person Phone
Admin. SIC (Supervisor in Charge) Other Staff Rep. Director of Nursing (Name & Title)
Committee Members Present: Kelly Kester and Jackie Podger Report Completed by: Kelly Kester
Number of Residents who received personal visits from committee members:4
Resident Rights Information is clearly visible: Yes No Ombudsman Contact Info is correct and clearly posted: Yes No
The most recent survey was readily accessible: Yes No Staffing information clearly posted: Yes No
(Required for Nursing Homes Only)
Resident Profile • Comments/Other
Observations
1. Do the residents appear neat,clean and odor free? Yes
2. Did residents say they receive assistance with personal care
activities?Ex. brushing their teeth, combing their hair, inserting Yes
dentures or cleaning their eyeglasses?
3. Did you see or hear residents being encouraged to participate in Yes
their care by staff members?
4. Were residents interacting with staff, other residents &visitors? One resident was sitting in a chair in a
common area where she could interact with
Yes staff and visitors. Two staff members were
present and acknowledged the resident and
ensured that she was comfortable.
5. Did staff respond to or interact with residents who had difficulty Yes
communicating or making their needs known verbally?
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 One resident described his living environment
as"comfortable"and shared that the view
from his room's window is something he
enjoyed.
9. Did you notice unpleasant odors in commonly used areas? No
10. Did you see items that could cause harm or be hazardous? No The common spaces and hallways were very
clean and free of any hazards or equipment.
11. Did residents feel their living areas were too noisy? No
12. Does the facility accommodate smokers? N/A
Where? Outside only Inside only Both Inside/Outside
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13. Were residents able to reach their call bells with ease? Yes Every resident visited had a call bell within
reach.
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14. Did staff answer call bells in a timely&courteous manner? N/A
If no, did you share this with the administrative staff? N/A
Resident • Comments/Other
Observations
15. Were residents asked their preferences or opinions about the Yes
activities planned for them at the facility?
16. Do residents have the opportunity to purchase personal items of Yes
their choice using their monthly needs funds?
Can residents access their monthly needs funds at their Yes
convenience?
17. Are residents asked their preferences about meal/snack choices? Yes One employee described their process for
Are they given a choice about where they prefer to dine? Yes providing each resident the option to dine in
their room or in the pod dining area. She
noted that most residents dine in their room.
We saw that the dining area was clean,tidy
and had plenty of space for residents to
comfortably dine there when they choose.
18. Do residents have privacy in making and receiving phone calls? Yes One resident had a phone call while we
visited. His phone was within reach.We
noticed that some residents had"do not
disturb"signs on their door noting specific
times that they planned to be on the phone.
19. Is there evidence of community involvement from other civic, Yes
volunteer or religious groups?
20. Does the facility have a Resident's Council? N/A
Family Council? N/A
Areas of • •
/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later Yes Most recent Medicare Survey results from
time or during the next visit? October 2021 were not available. The survey
notebook indicated that the last survey was
conducted on 9/22/2020.
This Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.(1/21/2020)