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HomeMy WebLinkAboutSignature 2023-08-16 Community Advisory Committee Quarterly/Annual Visitation Report County:Orange Facility Type: Facility Name/Address: Signature Healthcare, 1602 E Franklin St, ❑Family Care Home X Nursing Home Chapel Hill, NC 27514 ❑Adult Care Home ❑Combination Home Visit Date 08/16/2023 Time spent in facility: 1hr 15 min Arrival time: 1 pm Name of person exit interview was held with: Moses Muhairwe, Administrator Interview was held: X in Person Committee Members Present: Shade Little, Jackie Podger, Vibeke Talley Report Completed by: Vibeke Talley Number of Residents who received personal visits from committee members: 10 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, Yes inserting dentures or cleaning their eyeglasses? F----------- 3. Did you see or hear residents being encouraged to NA participate in their care by staff members? ---------- 4. Were residents interacting with staff, other residents & Yes visitors? ----------- 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known Yes verbally? F----------- 6. Did you observe restraints in use? No F----------- 7. If so, did you ask staff about the facility's restraint policies? Resident Living Accommodations Yes/No/N Comments/Other Observations 8. Did residents describe their living environment as Yes homelike? 9. Did you notice unpleasant odors in commonly used areas? No No odors noted but one resident stated that she would like her room to be cleaner. The resident didn't think it looked clean even after it had just been cleaned. 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* 12: Smokers,who are deemed safe to smoke Where?X Outside only ❑ Inside only ❑ Both independently,may go outside and smoke Inside/Outside any time they want. Smokers who need supervision have certain smoking times where staff go outside with them. 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely&courteous manner? Yes If no, did you share this with the administrative staff? Residenti Observations 15. Were residents asked their preferences or opinions about Yes* 15: One resident stated that there did not the activities planned for them at the facility? seem to be many activities scheduled. 16. Do residents have the opportunity to purchase personal Yes* 16: During Business Office hours only. items of 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 Yes choices? Yes Are they given a choice about where they prefer to dine? 18. Do residents have privacy in making and receiving phone Yes calls? 19. Is there evidence of community involvement from other Yes civic,volunteer or religious groups? 20. Does the facility have a Resident's Council? Yes Family Council? No Areas of Concern Yes/No/N Exit Summary Are there resident issues or topics that need follow-up or review at Yes Exit interview with the Administrator. He a later time or during the next visit? stated that he had been working with housekeeping on improving the cleanliness of the facility. Regarding the offering of activities the Administrator stated that the number of trips to shops and other community events has increased with the new Activities Director who has now been at the facility for—6 months. He also stated that he hears from many residents who enjoy the activities. 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.