Facility profile · CCN 215220
Chapel Hill Nursing Center
51 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $13,247.
Record summary
Federal record · Q1 202651
Total citations
18
Last 3 years
2
Actual harm+
1
Federal penalties
$13,247
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
51 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 16, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint |
| Jan 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jan 16, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jan 16, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Jan 16, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 16, 2025 | F606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Complaint |
| Jan 16, 2025 | F758 | 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. | D | Complaint |
| Jan 16, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint |
| Jan 16, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jan 16, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jan 16, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jan 16, 2025 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | Standard |
| Jan 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 16, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 16, 2025 | F761 | 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. | D | Standard |
| Jan 16, 2025 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Jan 16, 2025 | F625 | 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. | D | Standard |
| Jan 16, 2025 | F584 | 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. | D | Standard |
| Feb 19, 2020 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard |
| Feb 19, 2020 | F943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Standard |
| Feb 19, 2020 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard |
| Feb 19, 2020 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Feb 19, 2020 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Feb 19, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Feb 19, 2020 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Feb 19, 2020 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 19, 2020 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 19, 2020 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Feb 19, 2020 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Feb 19, 2020 | F711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | Standard |
| Feb 19, 2020 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Feb 19, 2020 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | Standard |
| Feb 19, 2020 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Feb 19, 2020 | F625 | 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. | D | Standard |
| Feb 19, 2020 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| Feb 19, 2020 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Feb 19, 2020 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Feb 19, 2020 | F584 | 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. | D | Standard |
| Feb 19, 2020 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Feb 19, 2020 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Feb 19, 2020 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard |
| Feb 19, 2020 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Feb 19, 2020 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Aug 30, 2018 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 30, 2018 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Aug 30, 2018 | F727 | 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. | D | Standard |
| Aug 30, 2018 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Aug 30, 2018 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 30, 2018 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 30, 2018 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard |
| Aug 30, 2018 | F584 | 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $13,247 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 16, 2025 | Fine | $13,247 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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