Inspection Reports for LiveWell @ Coker Hills (Chapel Hill)
202 N Elliott Rd, Chapel Hill, NC 27514, USA, NC, 27514
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
3.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
2 residents
Based on a April 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
NC DHSR Star Rating History
| Date | Rating | Score | Merits | Demerits | Type |
|---|---|---|---|---|---|
| May 30, 2025 | 102.5 | 6.5 | 4 | Annual Inspection | |
| Apr 12, 2023 | 101 | 1 | 0 | Annual Inspection | |
| Aug 16, 2021 | 101 | 1 | 0 | Annual Inspection | |
| Dec 7, 2017 | 99.75 | 1.25 | 0 | Re-Issued | |
| Oct 23, 2017 | 98.5 | 2 | 3.5 | Annual Inspection |
Inspection Report
Annual Inspection
Census: 2
Deficiencies: 2
Apr 22, 2025
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on April 22, 2025.
Findings
The facility failed to ensure compliance with annual fire safety inspection requirements as mandated by city ordinances, with the most recent fire inspection dated March 6, 2023 and no inspection documented for 2024. Additionally, the facility failed to use non-disposable plates and utensils for residents during meals, serving two residents on disposable plates and plastic utensils during breakfast and lunch on the day of inspection.
Deficiencies (2)
| Description |
|---|
| Failure to ensure fire safety requirements required by city ordinances or county building inspections were met, with no fire safety inspection documented for 2024. |
| Failure to assure non-disposable plates and utensils were used for residents during meals; disposable plates and plastic utensils were used for 2 residents during breakfast and lunch. |
Report Facts
Residents present: 2
Non-disposable plates observed: 10
Non-disposable place settings observed: 10
Bacon strips served: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Manager of Environmental Services | Responsible for ensuring the facility's fire inspection was current; unable to locate fire inspection more recent than 03/06/23 | |
| Administrator | Aware that fire safety inspections should be completed annually and that staff should not serve meals on disposable plates or provide plastic utensils | |
| Supervisor-in-Charge | Served meals on disposable plates and plastic utensils on day of inspection due to low census; stated facility had plenty of non-disposable plates and utensils | |
| Owner | Stated responsibility of Manager of Environmental Services and Administrator to ensure annual fire safety inspections were completed |
Inspection Report
Annual Inspection
Deficiencies: 1
Apr 9, 2021
Visit Reason
The Adult Care Licensure Section conducted an annual survey of the facility on April 9, 2021.
Findings
The facility failed to notify the county department of social services for one of three sampled residents who required notification due to a hospital transfer after a fall. The Administrator acknowledged the failure to report the incident as required by policy.
Deficiencies (1)
| Description |
|---|
| Failure to notify the county department of social services for a resident transferred to the hospital after a fall. |
Report Facts
Sampled residents requiring notification: 1
Sample size: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Interviewed regarding failure to report incident for Resident #2 | |
| Medication Aide (MA) | Responsible for completing incident reports for falls; interview attempted but unsuccessful | |
| Local county Adult Home Specialist (AHS) | Interviewed and confirmed no incident reports received from the facility |
Inspection Report
Renewal
Deficiencies: 0
May 9, 2018
Visit Reason
The purpose of this visit was to conduct the re-licensure inspection.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 2
Aug 30, 2017
Visit Reason
The Adult Care Licensure Section conducted an annual survey to assess compliance with licensing regulations, including capacity and evacuation capabilities of residents.
Findings
The facility was licensed for 6 ambulatory residents but had 3 residents who were non-ambulatory or had cognitive impairments preventing independent evacuation. The facility failed to notify the Division of Health Service Regulation of this discrepancy, constituting a Type B Violation. The facility had taken corrective actions including increasing staff, installing sprinklers, and applying for a license change to include non-ambulatory residents.
Severity Breakdown
Type B Violation: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to notify the Division of Health Service Regulation that residents' evacuation capabilities differed from those listed on the home's license for 3 of 3 sampled residents with cognitive and/or physical impairments preventing independent evacuation. | Type B Violation |
| Facility failed to assure every resident had the right to receive care and services which are adequate, appropriate, and in compliance with rules and regulations as related to capacity. | — |
Report Facts
Licensed capacity: 6
Current census: 6
Non-ambulatory residents: 3
Staffing levels: 4
Staffing levels: 3
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 9
Apr 21, 2017
Visit Reason
The complaint survey was conducted due to a complaint stating that there were non-ambulatory residents in the facility, which was substantiated.
Findings
The facility was found to have multiple deficiencies including use of the attic for storage, insufficient accessible exits for residents requiring physical assistance, lack of handrails and guardrails on porches and ramps, unsafe building equipment conditions, and non-compliance with licensed capacity and evacuation requirements for non-ambulatory residents.
Complaint Details
The complaint stated that there were non-ambulatory residents in the facility. The complaint was substantiated.
Deficiencies (9)
| Description |
|---|
| Attic is being used for storage, which is not allowed. |
| Facility has four residents requiring physical assistance with evacuation but only one ramp and no other grade-level entrances. |
| Steps, porches, stoops, and ramps lack required handrails and guardrails, including back deck and ramp dropoff. |
| Electrical receptacle near kitchen stove is not GFCI protected. |
| Bathroom ventilation fan duct is plastic flexible duct instead of approved rigid metallic duct. |
| Emergency egress windows do not meet minimum opening size requirements. |
| Two inch dropoff at sunroom door creates a trip hazard. |
| Dryer duct is crushed behind the dryer, creating a fire hazard. |
| Facility licensed for six ambulatory residents but currently has four non-ambulatory residents, exceeding license capacity without required sprinkler system. |
Report Facts
Residents requiring physical assistance: 4
Licensed capacity: 6
Evacuation time: 10
Minimum emergency egress window height: 22
Minimum emergency egress window width: 20
Actual casement window maximum height: 12
Actual casement window maximum width: 32
Actual other window maximum width: 14
Actual other window maximum height: 68
Trip hazard dropoff height: 2
Ramp slope requirement: 1
Fire sprinkler water supply duration: 30
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Hoppin | DHSR Construction Section Surveyor | Conducted the complaint survey and authored the report. |
Inspection Report
Original Licensing
Deficiencies: 3
Apr 20, 2016
Visit Reason
The Adult Care Licensure Section and Orange County Department of Social Services conducted an Initial Survey on 04/20/2016 to assess compliance with licensing requirements for the facility.
Findings
The facility failed to ensure that at least one staff person on the premises at all times had current CPR and choking management training, specifically Staff C lacked documentation of CPR certification for 13 of 19 night shifts. Additionally, Staff C did not complete the required 15-hour medication aide training prior to administering medications, and the facility failed to assure residents received adequate care in compliance with relevant laws.
Severity Breakdown
Type B Violation: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to ensure at least one staff person had current CPR and choking management training for 13 of 19 night shifts during April 1-19, 2016. | Type B Violation |
| Failure to assure each resident received care and services adequate and appropriate in compliance with laws related to CPR training for staff. | — |
| Failure to ensure medication aide completed the 15-hour medication administration training prior to passing medications within 60 days of hire. | — |
Report Facts
Night shifts without CPR certified staff: 13
Total night shifts reviewed: 19
Staff count: 3
Medication aide training hours missing: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff C | Supervisor-in-Charge | Named in findings for lacking CPR certification and required medication aide training. |
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