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Nursing Home

Signature HealthCARE of Chapel Hill

Nursing Home

Signature HealthCARE of Chapel Hill

1602 E Franklin St, Chapel Hill, NC 27514 View map
Overview of Signature Healthcare of Chapel Hill

Located at the core of Chapel Hill, NC, Signature Healthcare of Chapel Hill is a respected senior living community, offering an array of clinical services to help residents recover from their conditions or hospitalization. The community features excellent rehabilitation services and skilled nursing care tailored to residents’ needs and goals, making sure they are given the services that best work for them. Snug and stunning accommodations are also offered to give residents the space they need to comfortably relax and rest.

Committed to helping residents continue living their lives to the fullest, the community offers a wide array of activities, including regular outings, hobby clubs, and their annual Signature Olympics events and resident art shows. Residents also benefit from having access to additional amenities, such as an on-site chaplain, transportation, and volunteer opportunities for a fulfilling living experience. Here, residents are empowered to enjoy their golden years vibrantly and comfortably.

(919) 967-1418

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
3/5
North Carolina average: 2.8/5
Health Inspection Info 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.
3/5
North Carolina average: 2.8/5
Staffing Info 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.
4/5
North Carolina average: 2.7/5
Quality Measures Info 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.
3/5
North Carolina average: 3.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 58m per day

This home provides 0% more nursing time per resident than the North Carolina average.

North Carolina average: 3h 59m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 59m per day 35m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 0m per day 2h 19m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 58m per day 3h 20m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 9m per day 5m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 41m per day 23m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 108

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the North Carolina average
Occupancy rate 82.8%
Residents per day (avg) 96
Occupancy rate
82.8%
Residents per day (avg)
96

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

26% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

59% of new residents, often for short stays.

Typical stay 29 days

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 10 - 11 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$12.9M
Profit
$300.3K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$12,931,759.00
Profit
$300,281.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.9M
30.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.7M
Total costs $12.6M

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Total residents icon
Total residents icon

Total Residents: 108

Building type icon
Building type icon

Building Type: Single-story

Types of Care at Signature HealthCARE of Chapel Hill

Nursing Home
Contact Signature HealthCARE of Chapel Hill

Health Inspection History

Inspections
Total health inspections 4

North Carolina average 4


Last Health inspection on Jun 2025

Total health citations 20

North Carolina average 20.9

Citations per inspection
5

North Carolina average 4.99


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 20 citations resulted from standard inspections; 5 of 20 resulted from complaint investigations; and 5 of 20 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than North Carolina average

North Carolina average: 1.3


Serious Health citations More info 0
100% better than North Carolina average

North Carolina average: 0.9

0 critical citations More info North Carolina average: 1.3

0 serious citations More info North Carolina average: 0.9

19 moderate citations More info North Carolina average: 17.1

1 minor citation More info North Carolina average: 1.6
Citations history (last 3 years)
Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 19, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 19, 2025
Corrected

Care Planning minor citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jun 19, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Jun 19, 2025
Corrected

Compare Nursing Homes around Chapel Hill The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.

2 facilities compared · CMS & NC Dept. of Health data · Updated Mar 2026

Signature HealthCARE of Chapel Hill
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Chapel Hill
108
82.8%
+8%
3.96
+24%
0%
0
20
0
96
74
Muhairwe, Moses
$12,5M
$3,9M
31.5%
345225
Carolina Meadows
-
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Chapel Hill
-
-
-
-
-
-
-
-
-
0
0
0
-
10
-
-
-
-
-

Signature HealthCARE of Chapel Hill Reviews

Share your thoughts and experiences about Signature HealthCARE of Chapel Hill. Let’s celebrate the stories that make a difference!
Reviewer avatar
Susan T
Was a little uncertain about the facility given other reviews, but found it to be a great place with very competent, friendly, and caring staff. Staff work well together, the place is very clean, and the food is great. PT/OT staff are the best—workouts are fun and productive! Management staff are very helpful and clearly operate on the philosophy that the patient comes first! This place is better than some of the 5 star facilities in Durham. Give them a try! You won’t be disappointed!What do you like most about living here? Answer: Staff are friendly and caring Are there enough caregivers to handle the residents' needs, especially during emergencies? Answer: Yes Are the common areas pleasant and comfortable for socializing or relaxing? Answer: Yes How would you rate the quality and variety of the meals? (1-5) Answer: 4 Are special diets handled well? Answer: Yes Is the dining schedule flexible enough to meet your preferences? Answer: Yes How do you feel about the level of social interaction available with other residents? Answer: It’s variable How was the units offered in this community? Answer: Do you feel safe living in this community? Answer: Yes How well do you think the community handles emergencies or unexpected events? Answer: Are there any hidden fees or unexpected charges? Answer: Would you recommend this community to others looking for senior living options? Answer: Yes

Places of interest near Signature HealthCARE of Chapel Hill

Address 2.4 miles from city center

Address 1602 E Franklin St, Chapel Hill, NC 27514

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 187
Employees 155
Contractors 32
Staff to resident ratio 1.97:1
6% better than North Carolina average

North Carolina average ratio: 1.85:1

Avg staff/day 52
Average shift 8.5 hours
6% better than North Carolina average

North Carolina average: 8 hours

Total staff hours (quarter) 40,026
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 21
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 86
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

3.1%

1,244 contractor hours this quarter

Licensed Practical Nurse: 13 Certified Nursing Assistant: 12 Occupational Therapy Assistant: 3 Registered Nurse: 2 Qualified Social Worker: 1 Medical Director: 1
Staff by category
Certified Nursing Assistant74128616,90291100%8.2
Registered Nurse192216,05591100%9.6
Licensed Practical Nurse1113243,84191100%9.8
Medication Aide/Technician5052,0859099%8.8
RN Director of Nursing4042,0267785%9.2
Clinical Nurse Specialist5051,4076673%8
Respiratory Therapy Technician7071,3917987%7.2
Physical Therapy Assistant6069857077%8.1
Administrator2029446470%8
Speech Language Pathologist5057607582%7.3
Other Dietary Services Staff2026607481%8.6
Dietitian1016227380%8.5
Nurse Practitioner1015046369%8
Qualified Social Worker5164896571%5.7
Dental Services Staff3034526875%6.4
Physical Therapy Aide3034477077%4.8
Mental Health Service Worker2023804651%8
Occupational Therapy Assistant033541213%4.5
Medical Director011241213%2
86 Certified Nursing Assistant
% of Days 100%
21 Registered Nurse
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 99%
4 RN Director of Nursing
% of Days 85%
5 Clinical Nurse Specialist
% of Days 73%
7 Respiratory Therapy Technician
% of Days 87%
6 Physical Therapy Assistant
% of Days 77%
2 Administrator
% of Days 70%
5 Speech Language Pathologist
% of Days 82%
2 Other Dietary Services Staff
% of Days 81%
1 Dietitian
% of Days 80%
1 Nurse Practitioner
% of Days 69%
6 Qualified Social Worker
% of Days 71%
3 Dental Services Staff
% of Days 75%
3 Physical Therapy Aide
% of Days 77%
2 Mental Health Service Worker
% of Days 51%
3 Occupational Therapy Assistant
% of Days 13%
1 Medical Director
% of Days 13%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
95 residents
Residents by payment source
Medicare
15 residents (15.8%)
Medicaid
55 residents (57.9%)
Private pay or other
25 residents (26.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 12.7
11% worse than North Carolina average

North Carolina average: 11.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.3
18% worse than North Carolina average

North Carolina average: 20.6

Long-stay resident measures
Below average North Carolina avg: 2.9 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 18.1%
In line with North Carolina average

North Carolina average: 17.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 29.5%
27% worse than North Carolina average

North Carolina average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.4%
19% worse than North Carolina average

North Carolina average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.4%
7% better than North Carolina average

North Carolina average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.2%
18% better than North Carolina average

North Carolina average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than North Carolina average

North Carolina average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.4%
In line with North Carolina average

North Carolina average: 7.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.3%
66% worse than North Carolina average

North Carolina average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.6%
9% worse than North Carolina average

North Carolina average: 13.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
8% better than North Carolina average

North Carolina average: 91.6%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
In line with North Carolina average

North Carolina average: 94.1%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.52
42% worse than North Carolina average

North Carolina average: 1.77

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.31
27% worse than North Carolina average

North Carolina average: 1.82

Short-stay resident measures
Average North Carolina avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.0%
11% better than North Carolina average

North Carolina average: 79.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
39% better than North Carolina average

North Carolina average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.3%
12% better than North Carolina average

North Carolina average: 78.1%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.1%
5% worse than North Carolina average

North Carolina average: 22.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.1%
30% worse than North Carolina average

North Carolina average: 13.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.8%
6% worse than North Carolina average

North Carolina average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 60.0%
12% better than North Carolina average

North Carolina average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 54.3%
7% better than North Carolina average

North Carolina average: 50.6%

Guides for Better Senior Living

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Financial Aid for North Carolina Seniors

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Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled, North Carolina resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High demand; waitlists common in urban areas.

North Carolina Senior Care Options

NC SCO (via NFCSP)

Caregiver of someone 60+ (or with dementia), North Carolina resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural/urban balance.

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

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

Age 55+, NC resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

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

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+, NC resident, unable to perform 1+ ADL, at risk of nursing home placement.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed; need-based.

Family can be aides; varies by county funding.

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled, NC resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Low-Income Energy Assistance Program (LIHEAP)

North Carolina LIHEAP

Age 60+ prioritized, NC resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

Covers oil, gas, electric; emergency aid via Crisis Intervention Program (CIP).

Senior Community Service Employment Program (SCSEP)

North Carolina SCSEP

Age 55+, unemployed, low-income, NC resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, NC resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized, NC resident, homeowner, low-income.

~$30,258/year (50% AMI, varies by county).

Not strictly assessed; home value considered.

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

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled), NC resident, in licensed adult care home, low-income.

~$1,255/month (individual, 100% FPL); varies by facility rate.

$2,000 (individual).

Covers assisted living; counties supplement state funds.