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Deficiency Records for Chapel Hill Nursing Center
View the most recent health deficiencies and inspection results for Chapel Hill Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chapel Hill Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2026-03-30 | 2026-05-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-30 | 2026-05-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-30 | 2026-05-12 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-03-30 | 2026-05-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-16 | 2025-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-16 | 2025-03-24 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-01-16 | 2025-02-28 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-01-16 | 2025-02-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-16 | 2025-02-28 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-01-16 | 2025-02-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2025-01-16 | 2025-02-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-01-16 | 2025-02-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-01-16 | 2025-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-02-28 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2025-01-16 | 2025-02-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-16 | 2025-02-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-16 | 2025-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-16 | 2025-02-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-16 | 2025-02-28 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2025-01-16 | 2025-02-28 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Meet other general requirements. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-16 | 2025-02-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-19 | 2020-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-19 | 2020-03-31 | N |
| Respond appropriately to all alleged violations. | Health | 2020-02-19 | 2020-03-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-19 | 2020-03-31 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-19 | 2020-03-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-19 | 2020-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-19 | 2020-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-19 | 2020-03-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-02-19 | 2020-03-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-19 | 2020-03-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-19 | 2020-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-02-19 | 2020-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-19 | 2020-03-31 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-19 | 2020-03-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2020-02-19 | 2020-03-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-02-19 | 2020-03-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Meet other general requirements. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-19 | 2020-03-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-08-30 | 2018-10-25 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-30 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-09-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-30 | 2018-09-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-09-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-30 | 2018-09-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2018-08-30 | 2018-09-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-08-30 | 2018-09-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-08-30 | 2018-09-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-08-30 | 2018-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-30 | 2018-09-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-30 | 2018-09-21 | N |
| Have an externally vented heating system. | Fire Safety | 2018-08-30 | 2018-09-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-30 | 2018-09-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-30 | 2018-09-21 | N |