HomeMy WebLinkAboutCarol Woods 2023-12-16 Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type: Facility Name/Address:
❑Assisted Living Carol Woods Bldg 4,floor 2 and Bldg 5,6,7
750 Weaver Dairy Rd.
Chapel Hill,27514
Visit Date: 12/16/23 Time spent in facility: 1 hr 20 min Arrival time: ❑ 1:00 pm
Name of person exit interview was held with: Melanie Johnson (DON) Interview was held: X in Person
X Admin: Jessica Fine❑
Committee Members Present: Shade Little and Jackie Podger Report Completed by: Jackie Podger
Number of Residents who received personal visits from committee members: 12
Resident Rights Information is clearly visible: X Yes ❑ No Ombudsman Contact Info is correct and clear) posted: X Yes
The most recent survey was readily accessible: X Yes Staffing information clearly posted:X Yes
Required for Nursing Homes Onl
Resident •file 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?
4. Were residents interacting with staff, other residents&visitors? YES
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
9. Did you notice unpleasant odors in commonly used areas? NO
10. Did you see items that could cause harm or be hazardous? YES
11. Did residents feel their living areas were too noisy? NO
12. Does the facility accommodate smokers? YES
Where?X Outside only
13. Were residents able to reach their call bells with ease? YES
14. Did staff answer call bells in a timely&courteous manner?
If no, did you share this with the administrative staff? YES
• - • • • • •
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
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
Are they given a choice about where they prefer to dine?
18. Do residents have privacy in making and receiving hone calls? YES
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
Family Council?
Areas of •
Are there resident issues or topics that need follow-up or review at a later Discuss items from"Areas of Concern"Section
time or during the next visit? as well as any changes observed during the visit
CAC Members toured all assisted living facilities in 3 different areas. Did 1.
not find any resident right violations and the residents as well as the
facilities received good care.w
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.