HomeMy WebLinkAboutCarol Woods 2023-05-30 Comm unit 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: 05/30/2023 Time spent in facility: hr 40 min Arrival time: 03:05 ❑ am ® pm
Name of person exit interview was held with:Jessica Fine Interview was held: ® in Person ❑ Phone
®Admin. ❑ SIC(Supervisor in Charge) ❑ Other Staff Rep. Name& Title
Committee Members Present: Shade Little, Kelly Kester, Jackie Podger Report Completed by: Kelly Kester
Number of Residents who received personal visits from committee members: 6
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 Nursinq Homes Onl
Resident • • Comments/Other
Observations
1. Do the residents appear neat, clean and odor free? Y
2. Did residents say they receive assistance with personal care
activities? Ex. brushing their teeth, combing their hair, inserting Y
dentures or cleaning their eyeglasses?
3. Did you see or hear residents being encouraged to participate in Y
their care by staff members?
4. Were residents interacting with staff, other residents&visitors? Physical therapist observed returning resident
back to room after therapy.Therapist was
Y very kind, respectful,and ensured that the
resident was safe and comfortable prior to
leaving the room.
5. Did staff respond to or interact with residents who had difficulty Y
communicating or making their needs known verbally?
6. Did you observe restraints in use? N
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? Y
9. Did you notice unpleasant odors in commonly used areas? N
10. Did you see items that could cause harm or be hazardous? N
11. Did residents feel their living areas were too noisy? N
12. Does the facility accommodate smokers? N/A
Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside
13. Were residents able to reach their call bells with ease? Y All residents with call bell in reach, including
appropriate use of push button cords and
geriatric cords.
14. Did staff answer call bells in a timely&courteous manner? Y Residents shared that they experience a
If no, did you share this with the administrative staff? quick response regardless of the time of day
when they use their call bell.
Resident ' Comments/Other
lObservations
15. Were residents asked their preferences or opinions about the Y Resident reviewing flyer for ice cream outing
activities planned for them at the facility? that was given to her in her room. She
expressed satisfaction with trips to
restaurants and museums.
16. Do residents have the opportunity to purchase personal items of Y
their choice using their monthly needs funds?
Can residents access their monthly needs funds at their Y
convenience?
17. Are residents asked their preferences about meal/snack choices? Y One resident expressed dissatisfaction with
Are they given a choice about where they prefer to dine? Y the food,while others shared that it was
good. One resident goes to the main dining
room in another meeting to eat his meals. He
expressed that this allows him to move
around and visit with friends.
18. Do residents have privacy in making and receiving phone calls? Y One resident has a zoom call weekly and
keeps a sign on his door to ensure privacy.
19. Is there evidence of community involvement from other civic, Y
volunteer or religiousgroups?
20. Does the facility have a Resident's Council? Y
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 Y Most recent survey was held in February
time or during the next visit? 2023, though the most current survey
accessible was from 10/7/2023.
Ombudsmen name and contact information
not displayed.
Administrator,Jessica Fine, took note of
these topics for follow-up and assured timely
resolution.
This Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.(1/21/2020)