HomeMy WebLinkAboutAL-Graceful Living 2025-02-25 Corn unity Advisory Committee Quarter) /Annual Visitation Report
County: Facility Type: Facility Name/Address:
Orange ❑Family Care Home ❑Nursing Home Graceful Living, 624 Jones Ferry Rd., Carrboro 27
❑✓Adult Care Home ❑
Visit Date: 02 / 25 /25 Time spent in facility: hr 40 min Arrival time: 3 : 30 ❑ 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 Director: Lisa McDougal
Committee Members Present: Report Completed by:
Stephanie Boswell, MaryLou Gelblum Marylou Gelblum
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 clearly 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 I Comments/Other Observations
1. Do the residents appear neat, clean and odor free? Yes Residents appeared clean, neat and
2. Did residents say they receive assistance with personal care
activities?Ex. brushing their teeth, combing their hair, inserting N/A odor free.
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 Observations
8. Did residents describe their living environment as homelike? Yes There was a marked improvement in
9. Did you notice unpleasant odors in commonly used areas? No
10. Did you see items that could cause harm or be hazardous? No the overall appearance & smell of the
11. Did residents feel their living areas were too noisy? No facility. New management's focus on
12. Does the facility accommodate smokers? Yes eliminating odors, painting & repairing
Where? ❑✓ Outside only❑ Inside only❑ Both Inside/Outside ceilings, adding lighting, & moving the
13. Were residents able to reach their call bells with ease? N/A outside smoking area to back side of
14. Did staff answer call bells in a timely&courteous manner? N/A building, all contributed. Several
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
activities planned for them at the facility?
N/A There were daily activities listed
16. Do residents have the opportunity to purchase personal items of including limited community
their choice using their monthly needs funds? Yes involvement (church services) on the
Can residents access their monthly needs funds at their monthly calendar posted in the
convenience? hallway. We saw the snack and
17. Are residents asked their preferences about meal/snack choices? Yes beverage cart making the rounds in
Are they given a choice about where they prefer to dine? the afternoon.
18. Do residents have privacy in making and receiving phone calls? No There is only one public phone in the
19. Is there evidence of community involvement from other civic, Yes hallway for the men and one in the
volunteer or religious groups?
20. Does the facility have a Resident's Council? women's hallways.
N/A
Family Council?
Areas of • •
/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later NDiscuss items from "Areas of Concern"Section
time or during the next visit? O as well as any changes observed during the visit
At our exit interview a member of the
administration and the owner's wife
both expressed the desire to attract
more elderly clients.
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.
Revised 1/21/2020