PlainNursing
CMS Nursing Home Compare · August 2026

Signature Healthcare of Chapel Hill

1602 E Franklin Street, Chapel Hill, NC 27514

Signature Healthcare of Chapel Hill, a 108-bed for profit - corporation nursing facility in Chapel Hill, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #213 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9199671418

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3 / 5
Average · CMS overall · nat'l 3.0
#213 of 415
In-state rank among rated NC homes
3.59
Below average · nurse hrs/day · nat'l 3.86
20
Inspection findings

The verdict

Signature Healthcare of Chapel Hill, a 108-bed for profit - corporation nursing facility in Chapel Hill, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #213 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

3 / 5
CMS overall · national 3.0
#213 of 415
In-state rank among rated NC homes
3.59
Nurse hrs/resident-day · national 3.86
20
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
345225
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
108
Residents
96
In Hospital
No
County
Orange
Last Inspection
Jun 19, 2025

Staffing Data

How the 3.59 total nursing hours per resident-day are staffed:

RN Hours
0.84 (nat'l avg: 0.69)
LPN Hours
0.52
CNA Hours
2.24
Total Nursing Hours
3.59 (nat'l avg: 3.86)
PT Hours
0.13
Nursing Turnover
58.3%
RN Turnover
38.9%

What the CMS Record Reveals About Signature Healthcare of Chapel Hill

According to CMS Nursing Home Compare, Signature Healthcare of Chapel Hill ranks #213 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Signature Healthcare of Chapel Hill operates 108 certified beds in Chapel Hill, NC with approximately 96 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 3★ · quality 2★).

The inspection file contains 20 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Staffing is reported at 3.59 total nursing hours per resident day (national average 3.86), with RN coverage at 0.84 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Signature Healthcare of Chapel Hill falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 58.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

B - Pattern - No harm Jun 19, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2025

D - Isolated - Minimal harm Jun 19, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 5, 2025

D - Isolated - Minimal harm Jun 19, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jul 5, 2025

E - Pattern - Minimal harm Jun 19, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 5, 2025

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: May 5, 2024

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2024

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 5, 2024

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: May 5, 2024

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: May 5, 2024

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: May 5, 2024

E - Pattern - Minimal harm Apr 11, 2024 Tag: 0887

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Category: Infection Control Deficiencies

Corrected: May 5, 2024

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 1, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

D - Isolated - Minimal harm Nov 3, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Dec 1, 2023

E - Pattern - Minimal harm Nov 3, 2023 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 1, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Apr 14, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 14, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 14, 2023

D - Isolated - Minimal harm Mar 23, 2023 Tag: 0624

Prepare residents for a safe transfer or discharge from the nursing home.

Category: Resident Rights Deficiencies

Corrected: Apr 14, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 28.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 13.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.0% No
Percentage of long-stay residents who have depressive symptoms Long Stay 8.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 79.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.4% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 85.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.3% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Signature Healthcare of Chapel Hill, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Signature Healthcare of Chapel Hill

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 108 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Signature Healthcare of Chapel Hill?
Signature Healthcare of Chapel Hill has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (2★).
Where does Signature Healthcare of Chapel Hill rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Signature Healthcare of Chapel Hill ranks 213th among 415 rated nursing homes in NC (#213 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Signature Healthcare of Chapel Hill?
Signature Healthcare of Chapel Hill reports 3.59 total nursing hours per resident day (national average: 3.86). RN hours are 0.84 per resident day (national average: 0.69). Nursing staff turnover is 58.3%.
How many beds does Signature Healthcare of Chapel Hill have?
Signature Healthcare of Chapel Hill has 108 certified beds with approximately 96 residents. The facility is located at 1602 E Franklin Street, Chapel Hill, NC 27514.
Does Signature Healthcare of Chapel Hill have any deficiencies on record?
Yes, Signature Healthcare of Chapel Hill has 20 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Signature Healthcare of Chapel Hill received any fines or penalties?
No, Signature Healthcare of Chapel Hill has no fines or penalties on record.
Who owns Signature Healthcare of Chapel Hill?
Signature Healthcare of Chapel Hill is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Signature Healthcare of Chapel Hill last inspected?
The most recent health inspection for Signature Healthcare of Chapel Hill was on Jun 19, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Signature Healthcare of Chapel Hill?
Signature Healthcare of Chapel Hill is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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