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Deficiency Records for Chapel Hill Community
View the most recent health deficiencies and inspection results for Chapel Hill Community. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chapel Hill Community. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-24 | 2025-05-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-24 | 2025-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-05-12 | N |
| 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 | 2025-04-24 | 2025-05-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-24 | 2025-05-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-24 | 2025-05-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-04-24 | 2025-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-24 | 2025-05-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-04-24 | 2025-05-12 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-21 | 2024-04-01 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-06-06 | 2023-06-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-06 | 2023-06-26 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-06 | 2023-06-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-06 | 2023-06-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-06 | 2023-06-26 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-11-07 | 2022-11-22 | 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 | 2022-11-07 | 2022-11-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-07 | 2022-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-07 | 2022-11-22 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-07 | 2022-11-22 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-07 | 2022-11-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-11-07 | 2022-11-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-07 | 2022-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-07 | 2022-11-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-11-07 | 2022-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-07 | 2022-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-07 | 2022-11-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-07 | 2022-11-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-07 | 2022-11-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-07 | 2022-11-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-12-12 | 2020-01-13 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-12-12 | 2020-01-13 | 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 | 2019-12-12 | 2020-01-13 | N |
| 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 | 2019-12-12 | 2020-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-12 | 2020-01-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-12 | 2020-01-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-12 | 2020-01-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-12 | 2020-01-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-12 | 2020-01-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-12 | 2020-01-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-12 | 2020-01-13 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-12-12 | 2020-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-12 | 2020-01-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-12 | 2020-01-13 | N |