HomeMy WebLinkAboutSignature 2022-10-17 Community Advisory Committee Quarterly/Annual Visitation Report
County: ORANGE Facility Type: Facility Name/Address: Signature HealthCARE
Family Care Home X Nursing Home 1602 E Franklin St,
Adult Care Home Combination Home Chapel Hill, NC 27514
Visit Date: 10/1712022 Time spent in facility: 1 hr 30 min Arrival time: 11:00AM
Name of person exit interview was held with: Interview was held: Moses Muhairwe
Committee Members Present: Jackie Podger,Vibeke Talley Report Completed by: Jackie Podger
Number of Residents who received personal visits from committee members: 7 residents and 1 family member
Resident Rights Information is clearly visible:YES Ombudsman Contact Info is correct and clearly posted: YES
The most recent survey was readily accessible: YES Staffing information clearly posted: YES
(Required for Nursing Homes Only)
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
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?
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4. Were residents interacting with staff, other residents &visitors? Yes
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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? N/A
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 A family member expressed that the facility decor
left something to be desired. It was noted that
there are some areas that require some paint.
The Administrator indicated that the interior
painting had just begun.
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?YES Yes If the resident is mobile, the resident can use the
Where?Outside in designated area. designated area without assistance. If the
resident requires assistance, a staff member
must accompany the resident.
13. Were residents able to reach their call bells with ease? Yes
14. Did staff answer call bells in a timely&courteous manner? No One resident reported sometimes a staff member
If no,did you share this with the administrative staff? will respond to the call button, but tell the resident
they would return or someone would return to
address needs. Another resident reported the
wait time could be as lengthy as one and a half
hours.This was shared with the administrator who
indicated the call light should remain on until the
resident issue was resolved. Administrator
indicated that staff might be turning off the light
prematurely thinking that answering the call
button was the appropriate conclusion instead of
waiting until the issue was resolved. He will
address.
Resident Services Yes/No/NA
15. Were residents asked their preferences or opinions about the Yes It was mentioned to the administrator that there
activities planned for them at the facility? seemed to be an absence of weekend activities
as noted by a resident.Administrator indicated
that a member of the activity staff is scheduled on
the weekends, and during covid the community
response had diminished some. Things are
getting back to normal.
16. Do residents have the opportunity to purchase personal items of Yes
their choice using their monthly needs funds? Yes
Can residents access their monthly needs funds at their
convenience?
17. Are residents asked their preferences about meal/snack choices? Yes One resident complained about the food,while
Are they given a choice about where they prefer to dine? Yes another indicated he enjoyed the food very much.
One complaint revolved around the temperature.
Administrator indicated the number of methods
the kitchen employed to keep the food warm are
many. He will look into the matter.Another
complaint indicated the resident was served
spoiled milk. Facility is trying to encourage
residents to come to the dining room for meals.
Many prefer to stay in their rooms for meals.
18. Do residents have privacy in making and receiving phone calls? Yes A resident was observed using the phone
available for residents for private phone calls.
19. Is there evidence of community involvement from other civic, Yes
volunteer or religious groups?
20. Does the facility have a Resident's Council? Yes Administrator attended Resident Council Meeting
Family Council? No several weeks ago. It was a positive experience.
Are there resident issues or topics that need follow-up or review at a later Yes At the last visit lack of signage for entering the
time or during the next visit? facility was noted. Signage has improved clearly
directing visitors into the facility safely.
Answering call bells timely. One resident indicated he was unsure as to the
Food service. condition of his wife at the assisted living facility
Activities on weekends. where they resided. He has been at Signature
for rehab and had a hospitalization before that.
He has not been in touch with her recently. The
administrator indicated he will speak to the
resident and reassure him of his wife's stable
condition as he had spoken with that facility's
director in the early AM.
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.