Carol Woods - Chapel Hill Nursing Home
General Information
UPDATEFederal Provider Number
345199
Provider Name
CAROL WOODS
Provider Address
750 WEAVER DAIRY ROAD
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
Provider Phone Number
(919) 968-4511
Provider SSA County
670
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
26
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-01-30
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.80192
Reported LPN Staffing Hours per Resident per Day
0.26346
Reported RN Staffing Hours per Resident per Day
1.93462
Reported Licensed Staffing Hours per Resident per Day
2.19808
Reported Total Nurse Staffing Hours per Resident per Day
5.00000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20962
Expected CNA Staffing Hours per Resident per Day
2.28292
Expected LPN Staffing Hours per Resident per Day
0.53168
Expected RN Staffing Hours per Resident per Day
0.94586
Expected Total Nurse Staffing Hours per Resident per Day
3.76046
Adjusted CNA Staffing Hours per Resident per Day
3.01152
Adjusted LPN Staffing Hours per Resident per Day
0.41128
Adjusted RN Staffing Hours per Resident per Day
1.52830
Adjusted Total Nurse Staffing Hours per Resident per Day
5.35958
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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