5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Redefining senior living, Carol Woods is a tight-knit senior living community in Chapel Hill, NC, offering a peaceful environment for a continuum of care. Residents here thrive with access to a multitude of services, including assisted living, short-term rehabilitation, and an array of clinical services. Sprawled within 120 acres of certified natural wildlife backyard habitat, the community guarantees a relaxing living environment, combined with stunning accommodations in variations of apartments, cottages, and townhomes.
An array of traditional and complementary therapies are offered on-site to make sure residents have access to the services they need to maintain their mobility and highest functionality. Residents are also encouraged to participate in the community’s dynamic range of activities and events and enjoy a multitude of amenities, such as a dog park, fitness center, arts studio, and more. A delectable dining experience is also provided to make sure residents’ are always energized and full.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 11th out of 97 homes in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 2h 15m per day | ▲ 284% State avg: 35m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 30m per day | ▼ 43% State avg: 52m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 28m per day | ▲ 49% State avg: 2h 20m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 39m per day | ▲ 69% State avg: 3h 20m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 4m per day | ▼ 18% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 54m per day | ▲ 397% State avg: 23m per day · National avg: 28m per day |
Key information about the people who lead and staff this community.
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 7 | 46 | This facility has 85% fewer total deficiencies than a typical North Carolina nursing home (7 vs. NC avg 46).↓ 85% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 2.3 | 15.3 | This facility has 85% fewer deficiencies per year than a typical North Carolina nursing home (2.3 vs. NC avg 15.3).↓ 85% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.3 | 2.2 | This facility has 5% more deficiencies per inspection than a typical North Carolina nursing home (2.3 vs. NC avg 2.2).↑ 5% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 3 | 21 | This facility has 86% fewer total inspections than a typical North Carolina nursing home (3 vs. NC avg 21).↓ 86% better |
North Carolina average 4
Last Health inspection on Jun 2024
North Carolina average 20.9
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 7 citations resulted from standard inspections.
100% better than North Carolina averageNorth Carolina average: 1.3
100% better than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
364% more staff per resident than North Carolina average
19% worse than North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 44 RN Staff are full-time employees. No contractors work on this role.
44
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
All 15 LPN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.3 hoursHelps with daily care and mobility.
All 53 CNA Staff are full-time employees. No contractors work on this role.
53
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 53 | 0 | 53 | 6,741 | 92 | 100% | 7.7 |
| Registered Nurse | 44 | 0 | 44 | 3,522 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 15 | 0 | 15 | 557 | 71 | 77% | 5.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 552 | 59 | 64% | 5.3 |
| RN Director of Nursing | 1 | 0 | 1 | 435 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 424 | 53 | 58% | 8 |
| Physical Therapy Assistant | 8 | 0 | 8 | 367 | 69 | 75% | 2.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 364 | 57 | 62% | 6.4 |
| Medication Aide/Technician | 4 | 0 | 4 | 228 | 26 | 28% | 8.4 |
| Other Social Services Staff | 1 | 0 | 1 | 212 | 51 | 55% | 4.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 164 | 41 | 45% | 4 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 138 | 53 | 58% | 2.5 |
| Feeding Assistant | 2 | 0 | 2 | 28 | 33 | 36% | 0.7 |
| Other Physician | 3 | 0 | 3 | 27 | 31 | 34% | 0.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 22 | 36 | 39% | 0.6 |
| Medical Director | 1 | 0 | 1 | 17 | 17 | 18% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.3
36% better than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.8
14% better than North Carolina averageNorth Carolina average: 20.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.8%
7% worse than North Carolina averageNorth Carolina average: 17.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.9%
21% better than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
28.2%
974% worse than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
10.5%
43% worse than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
2.6%
40% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
4.9%
64% better than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
In line with North Carolina averageNorth Carolina average: 91.6%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.8%
14% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
27% better than North Carolina averageNorth Carolina average: 78.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
9.7%
58% better than North Carolina averageNorth Carolina average: 22.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
0.0%
100% better than North Carolina averageNorth Carolina average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than North Carolina averageNorth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
62.9%
17% better than North Carolina averageNorth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
59.4%
17% better than North Carolina averageNorth Carolina average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
21% of new residents, usually for short-term rehab.
79% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
17Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Carol Woods from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #8 / 104Payroll — State benchmarkedThis home is ranked 8th out of 104 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #83 / 104Payroll % — State benchmarkedThis home is ranked 83rd out of 104 homes in North Carolina. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Two-story
Fitness and Recreation
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (79% of admissions), and a typical private pay stay runs around 6 - 7 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.6 miles from city center
Estimated distance in miles from Chapel Hill's city center to Carol Woods's address, calculated via Google Maps.
— 4.37 miles to nearest hospital (UNC Hospitals)
Add your location
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods | NH AL IL NC | Chapel Hill (Carol Woods) | 30
Facility
30
NC AVG
72
Rank
#329 / 390 |
76.7%
Facility
76.7%
NC AVG
76.4%
Rank
#125 / 271 | 0% | 5.94
Facility
5.94
NC AVG
3.98
Rank
#11 / 97 | +239% | +49% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 105 | 7
Facility
7
NC AVG
20.9
Rank
#27 / 101 | 3.5
Facility
3.5
NC AVG
5.0
Rank
#41 / 101 | - | 22 | - |
13
Facility
13
NC AVG
33
Rank
#432 / 572 | The Chapel Hill Residential Retirement Center, Inc | $29.1M
Facility
$29.1M
NC AVG
$13.2M
Rank
#8 / 104 | $18.0M
Facility
$18.0M
NC AVG
$4.9M
Rank
#8 / 104 | 61.7%
Facility
61.7%
NC AVG
39.8%
Rank
#83 / 104 | 345199 | ||||
| Signature HealthCARE of Chapel Hill | NH HC NC PC | Chapel Hill (East Franklin Street) | 108
Facility
108
NC AVG
72
Rank
#65 / 390 |
82.8%
Facility
82.8%
NC AVG
76.4%
Rank
#90 / 271 | +8% | 3.96
Facility
3.96
NC AVG
3.98
Rank
#43 / 97 | +62% | 0% | $0
Facility
$0
NC AVG
$74.6k
Rank
#1 / 105 | 20
Facility
20
NC AVG
20.9
Rank
#67 / 101 | 5.0
Facility
5.0
NC AVG
5.0
Rank
#67 / 101 | - | 98 | - |
74
Facility
74
NC AVG
33
Rank
#14 / 572 | Moses Muhairwe | $11.3M
Facility
$11.3M
NC AVG
$13.2M
Rank
#67 / 104 | $4.4M
Facility
$4.4M
NC AVG
$4.9M
Rank
#76 / 104 | 39.1%
Facility
39.1%
NC AVG
39.8%
Rank
#53 / 104 | 345225 |
Carol Woods is located in Chapel Hill, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Carol Woods is in the Carol Woods neighborhood of NC 27514.
Carol Woods has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
Carol Woods's occupancy is 76.7%.
Carol Woods is registered as a non-profit.
Yes — there are 8 photos of Carol Woods in the photo gallery on this page.
Carol Woods is located at 750 Weaver Dairy Rd, Chapel Hill, Nc 27514, Usa.
(919) 968-4511 will put you in contact with the team at Carol Woods.
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