3/5
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.
3/5
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.
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.
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 43rd 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.
| 54m per day | ▲ 54% 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.
| 32m per day | ▼ 39% 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.
| 1h 59m per day | ▼ 14% State avg: 2h 19m per day · National avg: 2h 21m 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.
| 2h 52m per day | ▼ 14% 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.
| 8m per day | ▲ 55% 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.
| 35m per day | ▲ 53% State avg: 23m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% fewer staff per resident than North Carolina average
0% compared with 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 21 RN Staff are full-time employees. No contractors work on this role.
21
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursAssists with medical care and medications.
All 9 LPN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
All 63 CNA Staff are full-time employees. No contractors work on this role.
63
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
129 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 63 | 0 | 63 | 16,882 | 92 | 100% | 8 |
| Registered Nurse | 21 | 0 | 21 | 6,432 | 92 | 100% | 9.6 |
| Licensed Practical Nurse | 9 | 0 | 9 | 3,106 | 91 | 99% | 10.3 |
| RN Director of Nursing | 7 | 0 | 7 | 1,636 | 80 | 87% | 8.3 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 1,324 | 65 | 71% | 7.5 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 1,169 | 82 | 89% | 7.7 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,075 | 75 | 82% | 8.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 916 | 70 | 76% | 7.7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 872 | 65 | 71% | 8.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 593 | 79 | 86% | 5.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 582 | 62 | 67% | 9.4 |
| Administrator | 2 | 0 | 2 | 568 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 3 | 0 | 3 | 424 | 65 | 71% | 6.2 |
| Dental Services Staff | 2 | 0 | 2 | 391 | 53 | 58% | 7.4 |
| Nurse Practitioner | 2 | 0 | 2 | 355 | 46 | 50% | 7.7 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 93 | 17 | 18% | 5.5 |
| Dietitian | 1 | 0 | 1 | 90 | 12 | 13% | 7.5 |
| Medical Director | 0 | 1 | 1 | 36 | 18 | 20% | 2 |
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.
12.7
11% worse than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
18% worse 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
18.1%
In line with North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
29.5%
27% worse than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.4%
19% worse than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
7% better than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.2%
18% better than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
7.4%
In line with North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
7.3%
66% worse than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
14.6%
9% worse than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
8% better than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.4%
In line with North Carolina averageNorth Carolina average: 94.1%
Number of hospitalizations per 1,000 long-stay resident days.
2.52
42% worse than North Carolina averageNorth Carolina average: 1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.31
27% worse than North Carolina averageNorth Carolina average: 1.82
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
89.0%
11% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
39% better than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.3%
12% better than North Carolina averageNorth Carolina average: 78.1%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.1%
5% worse than North Carolina averageNorth Carolina average: 22.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.1%
30% worse than North Carolina averageNorth Carolina average: 13.2%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
6% worse than North Carolina averageNorth Carolina average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.0%
12% better than North Carolina averageNorth Carolina average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
54.3%
7% 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.
26% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, 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 Signature HealthCARE of Chapel Hill from 2012–2023, 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 #76 / 104Payroll — State benchmarkedThis home is ranked 76th 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 #53 / 104Payroll % — State benchmarkedThis home is ranked 53rd 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).
Building Type: Single-story
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.4 miles from city center
Estimated distance in miles from Chapel Hill's city center to Signature HealthCARE of Chapel Hill's address, calculated via Google Maps.
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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 |
Signature HealthCARE of Chapel Hill is located in Chapel Hill, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Signature HealthCARE of Chapel Hill is in the East Franklin Street neighborhood.
Signature HealthCARE of Chapel Hill has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Signature HealthCARE of Chapel Hill's occupancy is 82.8%.
Yes — there are 4 photos of Signature HealthCARE of Chapel Hill in the photo gallery on this page.
Signature HealthCARE of Chapel Hill is located at 1602 E Franklin St, Chapel Hill, NC 27514.
(919) 967-1418 will put you in contact with the team at Signature HealthCARE of Chapel Hill.
Yes — Signature HealthCARE of Chapel Hill is a CMS-certified provider of Medicare and Medicaid.
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