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HomeMy WebLinkAboutFC-Charles House 2024-12-19 Community Advisory Committee Quarter) /Annual Visitation Report County: Facility Type: Facility Name/Address: Orange ©Family Care Home ❑Nursing Home Charles House,Winmore,121 Della St.,Carrboro 27510 ❑Adult Care Home ❑ Visit Date:.e mkk./12/19/24 Time spent in facility: hr 30 min Arrival time: 4 :45 ❑ am© pm Name of person exit interview was held with: Interview was held: ©in Person ❑Phone ❑Admin. ©SIC(Supervisor in Charge) ©Other Staff Rep. Name/Title Daniel Mazamec Committee Members Present: Report Completed by: Stephanie Boswell,Marylou Gelblum �MaryLou Gelblum Number of Residents who received personal visits from committee members:4 Resident Rights Information is clearly visible: ®Yes®No I 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 Re uired for Nursinq Homes Onl Resident •file Yes/NoINA 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 N/A dentures or cleaning their eyeglasses? 3. Did you see or hear residents being encouraged to participate in N/A 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 N/A 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 restraintpolicies? N/A Resident Living Accommodations Yes/No/NA Comments/Other Obse 8. Did residents describe their living environment as homelike? Yes Each resident has their own lounge 9. Did you notice unpleasant odors in commonly used areas? No chair in the living room area and 10. Did you see items that could cause harm or be hazardous? No bedrooms have large windows and 11. Did residents feel their living areas were too noisy? NO nice furnishings. 12. Does the facility accommodate smokers? Yes Where?©Outside only❑Inside only❑Both Inside/Outside 13. Were residents able to reach their call bells with ease? N/A 14. Did staff answer call bells in a timely&courteous manner? N/A 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 Yes Residents are offered a variety of activities planned for them at the facility? activities centered on holidays and 16. Do residents have the opportunity to purchase personal items of their interests. 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? N/A 19. Is there evidence of community involvement from other civic, volunteer or religious groups? N/A 20. Does the facility have a Resident's Council? N/A Family Council? Areas of • Are there resident issues or topics that need follow-up or review at a later No Discuss items from"Areas of Concern"Section time or during the next visit? 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. Top Copy is for the Regional Ombudsman's Record.Bottom Co pv is for the CAC's Records. Revised 1/21/2020