HomeMy WebLinkAboutCarol Woods 2023-12-12 Community Advisory Committee Quarterly/Annual Visitation Report
County: ORANGE Facility Type: Facility Name/Address:
❑Family Care Home ®Nursing Home Carol Woods Retirement Community
❑Adult Care Home 750 Weaver Dairy Rd
Chapel Hill, NC 27514
Visit Date: 12/12/2023 1 Time spent in facility: 50 min. Arrival time: 3:00 ❑ am ® pm
Name of person exit interview was held with: Interview was held: ® in Person ❑ Phone
❑Admin. ® SIC(Supervisor in Charge) ❑ Other Staff Rep. Jessica Fine
Committee Members Present: Jackie Podger, Shade Little Report Completed by: Shade Little
Number of Residents who received personal visits from committee members: 5
Resident Rights Information is clearly visible: ®Yes ❑ No Ombudsman Contact Info is correct and clear) 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 Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free? Y There are many here for short-term rehab only.
2. Did residents say they receive assistance with personal care activities? Census low and some residents out for holiday
Ex. brushing their teeth, combing their hair,inserting dentures or cleaning Y events.
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?
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?
Resident Living Accommodations Yes/No/NA Comments/Other Observations
1. Did residents describe their living environment as homelike? Y Smoking is allowed outdoors on the patio.
2. Did you notice unpleasant odors in commonly used areas? N
3. Did you see items that could cause harm or be hazardous? N
4. Did residents feel their living areas were too noisy? N
5. Does the facility accommodate smokers? Y
Where? ❑ Outside only❑ Inside only❑ Both Inside/Outside
6. Were residents able to reach their call bells with ease? Y
7. Did staff answer call bells in a timely&courteous manner? Y
If no, did you share this with the administrative staff?
Resident • • Observations
1. Were residents asked their preferences or opinions about the Y NO staff shortages.
activities planned for them at the facility?
2. 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?
3. Are residents asked their preferences about meal/snack choices? Y
Are they given a choice about where they prefer to dine? Y
4. Do residents have privacy in making and receiving hone calls? Y
5. Is there evidence of community involvement from other civic, Y
volunteer or religious groups?
6. Does the facility have a Resident's Council? Y
Family Council?
Areas of • Yes/No/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later N We did not observe any resident issues. Very quiet
time or during the next visit? visit
his Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.
Bottom Copy is for the CAC's Records.