Signature Healthcare Of Chapel Hill - Chapel Hill Nursing Home

General Information

UPDATE
Federal Provider Number
345225
Provider Name
SIGNATURE HEALTHCARE OF CHAPEL HILL
Provider Address
1602 E FRANKLIN STREET
CHAPEL HILL, NC 27514
Provider Phone Number
(919) 967-1418
Provider SSA County
670
Provider County Name
Orange
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LP CHAPEL HILL, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-08-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.85739
Reported LPN Staffing Hours per Resident per Day
0.99602
Reported RN Staffing Hours per Resident per Day
0.97330
Reported Licensed Staffing Hours per Resident per Day
1.96932
Reported Total Nurse Staffing Hours per Resident per Day
3.82671
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11307
Expected CNA Staffing Hours per Resident per Day
2.45387
Expected LPN Staffing Hours per Resident per Day
0.66433
Expected RN Staffing Hours per Resident per Day
1.11425
Expected Total Nurse Staffing Hours per Resident per Day
4.23244
Adjusted CNA Staffing Hours per Resident per Day
1.85726
Adjusted LPN Staffing Hours per Resident per Day
1.24441
Adjusted RN Staffing Hours per Resident per Day
0.65268
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64449
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
2013-05-31
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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