Facility Watch Inspection records for every certified US nursing home

Carol Woods

750 Weaver Dairy Road
Chapel Hill, NC 27514
(919) 968-4511

CCN
345199
Certified beds
30
Ownership
Non profit - Corporation

Nurse staffing

6.85
Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 2.47 hours per resident per day

Nursing staff turnover: 32% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

Inspection history

Inspected June 6, 2024

5 citations · Health
B
F0640 No actual harm with potential for minimal harm · Pattern

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Deficient, Provider has plan of correction · corrected June 29, 2024
B
F0657 No actual harm with potential for minimal harm · Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Deficient, Provider has plan of correction · corrected June 29, 2024
E
F0812 No actual harm with potential for more than minimal harm · Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Deficient, Provider has date of correction · corrected June 29, 2024
E
F0883 No actual harm with potential for more than minimal harm · Pattern

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Deficient, Provider has date of correction · corrected June 29, 2024
F
F0851 No actual harm with potential for more than minimal harm · Widespread

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Deficient, Provider has date of correction · corrected June 29, 2024

Inspected February 9, 2023

2 citations · Health
D
F0582 No actual harm with potential for more than minimal harm · Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Deficient, Provider has date of correction · corrected March 9, 2023
D
F0867 No actual harm with potential for more than minimal harm · Isolated

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Deficient, Provider has date of correction · corrected March 9, 2023