| Carol Woods | |
| 750 Weaver Dairy Road, Chapel Hill, North Carolina 27514 | |
| (919) 968-4511 | |
| Name | Carol Woods |
|---|---|
| Location | 750 Weaver Dairy Road, Chapel Hill, North Carolina |
| Certified By | Medicare |
| No. of Certified Beds | 30 |
| Occupancy Rate | 93% |
| Medicare ID (CCN) | 345199 |
| Legal Business Name | The Chapel Hill Residential Retirement Center, Inc. |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1396746079 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Chapel Hill Residential Retirement Center, Inc. |
| Doing Business As | Carol Woods Retirement Community |
| Address | 750 Weaver Dairy Rd, Chapel Hill, NC 27514 |
| Phone Number | 919-968-4511 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.92 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.79 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.31 | 0.86 |
| Nurse aide hours per resident per day | 2.82 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.44 | 3.42 |
| RN hours per resident per day on the weekend | 1.5 | 0.48 |
| Physical therapist hours per resident per day | 0.04 | 0.07 |
| Total nursing staff turnover | 35.1% | 45.8% |
| Registered nurse turnover | 36.4% | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 6, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Jun 29, 2024 |
| Jun 6, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 29, 2024 |
| Jun 6, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jun 29, 2024 |
| Jun 6, 2024 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Plan of correction |
| Jun 6, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Minimal harm potential, pattern | Plan of correction |
| Feb 9, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2023 |
| Feb 9, 2023 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, isolated | Corrected by Mar 9, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.58 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.11 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.26 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 23.26 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.44 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.78 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.18 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.27 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.5 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.05 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.61 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.65 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 0 | 15.38 |
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