A list of the most recent deficiencies for Signature Healthcare of Chapel Hill. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-03 | 2023-12-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-03 | 2023-12-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-03 | 2023-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-03 | 2023-12-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-03 | 2023-12-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-04-19 | 2023-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-23 | 2023-04-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-23 | 2023-04-14 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-03-23 | 2023-04-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-19 | 2022-09-01 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-19 | 2022-09-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-23 | 2022-08-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-23 | 2022-08-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-23 | 2022-08-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-03-03 | 2022-03-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-03 | 2022-03-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-07 | 2021-10-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-07 | 2021-10-05 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-09-07 | 2021-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-07 | 2021-10-05 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-09-07 | 2021-10-05 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-07 | 2021-10-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-30 | 2021-05-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-03-31 | 2021-04-27 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-13 | 2019-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-13 | 2019-09-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-13 | 2019-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-13 | 2019-09-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-02 | 2019-05-30 | 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 | 2019-05-02 | 2019-05-30 | N |
