LiveWell at Birchwood Lake Estates
Nursing Home, Assisted Living, Home Care & Memory Care · Chapel Hill, NC

LiveWell at Birchwood Lake Estates

Nursing Home, Assisted Living, Home Care & Memory Care · Chapel Hill, NC

Overview of LiveWell at Birchwood Lake Estates

Nestled within the vibrant landscape of Durham, North Carolina, LiveWell at Birchwood Lake Estates is an esteemed assisted living community. Standing proudly, this assisted living community presents an alternative vision of assisted living within the charming confines of Chapel Hill. Each dwelling within this community is meticulously crafted to exude warmth and hospitality, ensuring an environment that extends its embrace to friends and family alike.

Whether seniors are engaged in a stroll outdoors or savoring a delectable meal, the ethos of LiveWell encourages your presence, inviting you to share in their moments of joy and togetherness. Experience a different kind of assisted living community that redefines the essence of welcome and inclusivity at LiveWell at Birchwood Lake Estates.

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 6 Rank #76 / 80Bed count — State benchmarkedThis home is ranked 76th out of 80 homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info An established community with some operational experience and growing routines. This is the number of years in operation under current management.
8 years
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #44 / 72Occupancy rate — State benchmarkedThis home is ranked 44th out of 72 homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 72. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
83.3% This home usually has availability
Similar to the North Carolina average: 81.3%
Occupied beds
5 / 6
BBB Rating Info An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+ Not Accredited
How BBB ratings work

About this community

License Details

StatusActive
CountyOrange
License NumberFCL-068-036

Staffing & Medical

1 service
Staff-to-Resident Ratio: 1:3

Additional Services

1 service
Home Care

Amenities & Lifestyle

Chapel
Wellness Program
Branded ProgramsLiveWell
Religious Services

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Division Of Health Service Rating
4/4

North Carolina average: 3 stars See full North Carolina ranking

Scores

DHSR Score
101.50 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98 See full North Carolina ranking

Contact LiveWell at Birchwood Lake Estates

Inspection History

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.

Since 2015 · 11 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
54 deficiencies 8 inspections 0 penalties 15 inspections with deficiencies

Inspection Scorecard Info 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.

Since 2015 vs. North Carolina state average
Overall vs. NC average 2 Worse Metrics worse than North Carolina average:
• Total deficiencies (17% above)
• Deficiencies per inspection (36% above)
2 Better Metrics better than North Carolina average:
• Inspections with deficiencies (63% below)
• Inspection deficiency rate (4% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 5446 This facility has 17% more total deficiencies than a typical North Carolina nursing home (54 vs. NC avg 46).↑ 17% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.85.01 This facility has 36% more deficiencies per inspection than a typical North Carolina nursing home (6.8 vs. NC avg 5.01).↑ 36% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all inspections conducted at this facility. 821 This facility has had 62% fewer total inspections than the North Carolina average (8 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 62% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 719 This facility has 63% fewer inspections with deficiencies than a typical North Carolina nursing home (7 vs. NC avg 19).↓ 63% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 88%92% This facility has 4 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (88% vs. NC avg 92%).↓ 4% better

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private Rooms / Semi-Private Rooms

Staff to resident icon
Staff to resident icon

Staff to Resident Ratio: 1:3

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Type of Rooms Available

Private Rooms
Private Rooms
1 / 4
Private Rooms
Semi-Private Rooms
Semi-Private Rooms
1 / 4
Semi-Private Rooms

Places of interest near LiveWell at Birchwood Lake Estates

Address 4.9 miles from city center Info Estimated distance in miles from Chapel Hill's city center to LiveWell at Birchwood Lake Estates's address, calculated via Google Maps. — 5.36 miles to nearest hospital (Duke University Hospital)

Calculate Travel Distance to LiveWell at Birchwood Lake Estates

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Address

Compare Nursing Homes around Chapel Hill

Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment. CCRC( (Continuing Care Retirement Communities (CCRC)):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Carol Woods
NH
AL
CCRC(
IL
SNF
Chapel Hill (Carol Woods)
30
Facility 30
NC AVG 92
Rank #71 / 80
93.0%
Facility 93.0%
NC AVG 81.3%
Rank #13 / 72
+14%
5.32
Facility 5.32
NC AVG 3.98
Rank #21 / 83
+239%+34%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
7
Facility 7
NC AVG 20.9
Rank #27 / 85
3.5
Facility 3.5
NC AVG 5.0
Rank #39 / 85
-28-
13
Facility 13
NC AVG 33
Rank #88 / 112
The Chapel Hill Residential Retirement Center, Inc
$29.1MFiscal year ending 12/2023
Facility $29.1MFiscal year ending 12/2023
NC AVG $15.7M
Rank #8 / 84
$18.0MFiscal year ending 12/2023
Facility $18.0MFiscal year ending 12/2023
NC AVG $8.2M
Rank #4 / 84
61.7%Fiscal year ending 12/2023
Facility 61.7%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #16 / 84
345199
Signature HealthCARE of Chapel Hill
NH
HOS
PC
SNF
Chapel Hill
108
Facility 108
NC AVG 92
Rank #26 / 80
88.5%
Facility 88.5%
NC AVG 81.3%
Rank #27 / 72
+9%
3.88
Facility 3.88
NC AVG 3.98
Rank #52 / 83
+62%-3%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
20
Facility 20
NC AVG 20.9
Rank #58 / 85
5.0
Facility 5.0
NC AVG 5.0
Rank #58 / 85
-96-
74
Facility 74
NC AVG 33
Rank #5 / 112
Moses Muhairwe
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
NC AVG $15.7M
Rank #57 / 84
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
NC AVG $8.2M
Rank #70 / 84
39.1%Fiscal year ending 12/2023
Facility 39.1%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #66 / 84
345225

Rank badges are statewide: each nursing home is ranked against every NC nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities

Financial Assistance for
Nursing Home in North Carolina

LiveWell at Birchwood Lake Estates is located in Chapel Hill, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Frequently Asked Questions about LiveWell at Birchwood Lake Estates

What is the license number of LiveWell at Birchwood Lake Estates?

According to NC state health department records, LiveWell at Birchwood Lake Estates's license number is FCL-068-036.

What is the occupancy rate at LiveWell at Birchwood Lake Estates?

LiveWell at Birchwood Lake Estates's occupancy is 83.3%.

How long has LiveWell at Birchwood Lake Estates been in business?

LiveWell at Birchwood Lake Estates has been operating for approximately 8 years, based on available licensing and registration records.

Are pets allowed at LiveWell at Birchwood Lake Estates?

No, LiveWell at Birchwood Lake Estates has a no-pet policy.

How many beds does LiveWell at Birchwood Lake Estates have?

LiveWell at Birchwood Lake Estates has 6 beds.

Has LiveWell at Birchwood Lake Estates had any deficiencies?

LiveWell at Birchwood Lake Estates has had 54 reported deficiencies according to records from NC Dept. of Health and Human Services (NCDHHS).

Are there photos of LiveWell at Birchwood Lake Estates?

Yes — there are 7 photos of LiveWell at Birchwood Lake Estates in the photo gallery on this page.

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