HomeMy WebLinkAboutCarlisle 2023-12-27 Com unity Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type: Facility Name/Address: Carlisle at Carboro
❑Family Care Home ❑Nursing Home 624 Jones Ferry Road, Carboro, NC
XAdult Care Home ❑Combination Home
Visit Date 12/27/23 Time spent in facility: hr 50 min Arrival time: 10:55am ❑am ❑ pm
Name of person exit interview was held with: Interview was held: ❑ in Person ❑ Phone ❑Admin.
X SIC(Supervisor in Charge) ❑ Other Staff Rep. (Name& Title) Doris Coleman,Assistant Administrator
Committee Members Present: Mary Lou Gelblum, Stephanie Boswell TReport Completed by: Stephanie Boswell
Number of Residents who received personal visits from committee members: 8
Resident Rights Information is clearly visible:X Yes ❑ No Ombudsman Contact Info is correct and clearly posted:X Yes ❑ No
The most recent survey was readily accessible:XYes ❑ No Staffing information clearly posted: X Yes ❑ No
Re uired for Nursing Homes Onlo :1
Resident • •/NA 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 N
their care by staff members?
4. Were residents interacting with staff,other residents&visitors? Y
5. Did staff respond to or interact with residents who had difficulty NA
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? NA
Resident Living Accommodations 1� Comments/Other Observations
8. Did residents describe their living environment as homelike? Y
9. Did you notice unpleasant odors in commonly used areas? Y 9.Residents were clean,well dressed and no
ordor was noted from any one individual. The
facility has a consistent odor throughout the
hallways/areas. The odor was the same
throughout the building and was present
throughout the visit.
10. Did you see items that could cause harm or be hazardous? Y 10: Janitor closet was unlocked with
chemicals inside (sign of door stated door should
be locked at all times).
11. Did residents feel their living areas were too noisy? Y 11. One resident complained about other
residents being too loud.
12. Does the facility accommodate smokers? Y
Where?X Outside only❑ Inside only❑ Both Inside/Outside
13. Were residents able to reach their call bells with ease? NA
14. Did staff answer call bells in a timely&courteous manner? NA
If no, did you share this with the administrative staff?
Resident •/NA Comments/Other Observations
15. Were residents asked their preferences or opinions about the Y
activities planned for them at the facility?
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
convenience?
17. Are residents asked their preferences about meal/snack choices? 17. Majority of residents report they like the food
Are they given a choice about where they prefer to dine? N and the portion sizes are adequate. Residents
report a lack of alternatives to main dish.
18. Do residents have privacy in making and receiving hone calls? N
19. Is there evidence of community involvement from other civic, Y 19.A volunteer group was leading a bible study
volunteer or religious groups? during our visit.
20. Does the facility have a Resident's Council? Y
Family Council?
Areas of • •
Are there resident issues or topics that need follow-up or review at a later Y Odor throughout the building.
time or during the next visit?
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.