HomeMy WebLinkAboutNH-Signature HealthCARE of CH 2025-02-06 Co munity Advisory Committee Quarter/ /Annual Visitation Report
County: ORANGE Facility Type: Facility Name/Address:
❑Family Care Home ®Nursing Home Signature HealthCARE of Chapel Hill
❑Adult Care Home 1602 East Franklin Street, Chapel Hill, NC 27514
Visit Date: 02/06/2025 Timespent in facility: 90 min. Arrival time: 10:45 ® am ❑ pm
Name of person exit interview was held with: Interview was held: ® in Person ❑ Phone
❑Admin. ® SIC Supervisor in Charge) ❑ Other Staff Rep. Bonnie Steward, Asst Director of Nursing
Committee Members Present: Alicia Reid, Shade Little Report Completed by: Shade Little
Number of Residents who received personal visits from committee members: 12
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 Only)
Resident • •/NA Comments/Other Observations
1. Do the residents appear neat,clean and odor free? y Hall of fame updated,seems to have both staff and
2. Did residents say they receive assistance with personal care activities? residents.
Ex. brushing their teeth, combing their hair,inserting dentures or cleaning NA
their eyeglasses?
3. Did you see or hear residents being encouraged to participate in N
their care by staff members?
4. Were residents interacting with staff,other residents&visitors? y
5. Did staff respond to or interact with residents who had difficulty NA
communicating or making their needs known verbally?
6. Did you observe restraints in use? N
7. If so,did you ask staff about the facility's restraint policics? NA
Resident Living Accommodations Yes/No/NA Comments/Other Observations
1. Did residents describe their living environment as homelike? Y
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
5. Does the facility accommodate smokers? Y
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? NA
If no, did you share this with the administrative staff?
Resident • • Observations
1. Were residents asked their preferences or opinions about the Y Physical Therapy continues to receive good marks
activities planned for them at the facility? from the residents. There are 30-40 of the residents
2. Do residents have the opportunity to purchase personal items of Y just for rehab(Physical, Ocupational, and/or Speech
their choice using their monthly needs funds? Therapy). Long term residents also get therapy if
Can residents access their monthly needs funds at their Y conditions change.
convenience? Several residents stated the staff is good, they take
3. Are residents asked their preferences about meal/snack choices? Y care One stated they were nice to their husband.
Are they given a choice about where they prefer to dine? Y One said if you had to be in such a facility, this is the
4. Do residents have privacy in making and receiving hone calls? y one to be.
5. Is there evidence of community involvement from other civic, Y
volunteer or religious groups?
6. Does the facility have a Resident's Council? y
Family Council?
Areas of • Yes/No/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later Y Dirty air vents noticed in room 228,worry about dust
time or during the next visit? falling into room.
his Document is PUBLIC RECORD.Do not identify any Resident(s)by name or inference on this form.t
Bottom Copy is for the CAC's Records.