HomeMy WebLinkAboutNH-Peak Resources-Brookshire 2024-11-04 Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type: Facility Name/Address:
❑Family Care Home ®Nursing Home Peak Resources Brookshire
❑Adult Care Home 300 Meadowlands Drive
Hillsborough, NC 27278
Visit Date: 11 /4/2024 1 Time spent in facility: hr 50 min Arrival time: 3:50 ❑ am ® pm
Name of person exit interview was held with: Derrick Hammon,Administrator Interview was held: ❑ in Person ❑ Phone
❑Admin. ❑ SIC Supervisor in Charge) ❑ Other Staff Rep. Name& Title
Committee Members Present: Kelly Kester and Carol Kelly 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 clear) posted: ❑ Yes ❑ No
The most recent survey was readily accessible: ❑ Yes ❑ No Staffing information clearly posted: ❑ Yes❑ No
Required for Nursing Homes Onl
Resident • • Comments/Other
Observations
Do the residents appear neat,clean and odor free? Y
Did residents say they receive assistance with personal care activities? Ex.
brushing their teeth, combing their hair, inserting dentures or cleaning Y
their eyeglasses?
Did you see or hear residents being encouraged to participate in their care by Y
staff members?
Were residents interacting with staff, other residents&visitors? Multiple residents participating in activities,
including painting in the activities room.Also,
Y two staff members were conversing with two
residents in the hall in a very familiar and
friendly manner.
Did staff respond to or interact with residents who had difficulty Y
communicating or making their needs known verbally?
Did you observe restraints in use? N
If so, did you ask staff about the facility's restraint policies? N/A
Resident Living Accommodations Yes/No/NA Comments/Other
Observations
1. Did residents describe their living environment as homelike? Y A family member of a resident described that
the facility is"a great place with great staff'
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 Resident shared that there is not a noise
issue in the facility and that it is generally
quiet.
5. Does the facility accommodate smokers? N
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? N/A
Resident • Comments/Other
Observations
8. Were residents asked their preferences or opinions about the Y Multiple residents were observed to be
activities planned for them at the facility? participating in activities, including water
coloring. Recreation room has birds for
viewing, along with books,television, and
puzzles. The activities director is enthusiastic
and seeks support from local business and
partners with local library.
9. 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?
10. Are residents asked their preferences about meal/snack choices? Y For residents with special dietary needs,food
Are they given a choice about where they prefer to dine? Y service provides individualized menus daily.
11. Do residents have privacy in making and receiving hone calls? Y
12. Is there evidence of community involvement from other civic, Y Administrator described that local voting
volunteer or religious groups? officials were on-site recently to support
residents in registering to vote and submitting
their mail-in ballot.
13. Does the facility have a Resident's Council? Y
Family Council? N
Areas of Concern Yes/No/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later N/A Discuss items from"Areas of Concern"
time or during the next visit? Section as well as any changes observed
during the visit
This Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.(1/21/2020)