Signature Healthcare of Chapel Hill

In the surveyor’s words

From the most serious findings on record at Signature Healthcare of Chapel Hill, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 21, 2026

  Based on observations, record review, and interviews with staff, resident, Nurse Practitioner #1, and Medical Director, the facility failed to protect a resident's right to be free from neglect when nurse aides did not reposition and provide incontinence care to a dependent resident. One of the nurse aides was made aware on two occasions that Resident #103 reported she had not been repositioned, needed incontinence care and her buttocks was sore. Resident #103 stated being left all day without being changed or repositioned made her feel sick to her stomach when she thought about it and she felt neglected. The deficient practice occurred for 1 of 3 residents reviewed for neglect (Resident #103). […]

• No harm, potential for more than minimal, widespreadF880Aug 19, 2022

  Based on record review, observation and staff interview the facility failed to: 1) assure staff wore eye protection as source control for COVID-19 during a time period when the county COVID-19 transmission rate was high on 4 of 4 halls in the facility and 2) follow transmission-based precautions for 1 (Resident #4) of 2 residents on transmission-based precautions for COVID-19. This occurred during a coronavirus pandemic. The findings included: 1.Review of the facility's Novel Coronavirus (COVID-19) clinical policy last revised on 3/8/2022 revealed under general preventative measures, Requiring eye protection (face shield or goggles) to be worn by [staff] (in addition to masks) in resident/patient care areas (as defined by each facility) should be based on requirements by local and/or state… […]

• No harm, potential for more than minimal, patternF552Aug 21, 2026

  Based on observations, record reviews, and interviews with the Consultant Pharmacist, Medical Director, and staff, the facility failed to obtain consent and inform the resident or resident representative in advance of the risks and benefits of psychotropic medications prior to the administration of psychotropic medications or prior to increasing the dosage of psychotropic medications for 4 of 5 residents reviewed for unnecessary medications (Resident #5, #7, #10, and #12).Findings included:a. […]

• No harm, potential for more than minimal, patternF812Aug 21, 2026

  Based on observations and staff interviews, the facility failed to store food in 1 of 1 walk-in freezer that was not open to air and without freezer burn, failed to label and date food stored for use in 1 of 1 walk-in freezer and 1 of 2 reach-in refrigerators (Refrigerator #2), failed to maintain a clean microwave and ensure an ice scoop was stored without the potential for cross-contamination. The facility also failed to remove dented canned goods from service in the dry goods storage room and failed to maintain clean freezers, microwaves and refrigerators in 2 of 2 nourishment rooms (Red and Blue hallway nourishment rooms). These practices had the potential to affect food served to residents. The findings included:a. […]

• No harm, potential for more than minimal, patternF887Aug 21, 2026

  Based on record review and staff interviews, the facility failed to assess residents for eligibility and ensure residents were offered the Covid-19 booster vaccination for 4 of 5 residents reviewed for immunizations (Residents #9, #5, #79, and #3).The findings included:A review of the facility's Vaccines and Immunizations policy revealed the Policy Statement indicated, Minimize the risk of residents acquiring, transmitting, or experiencing complications from communicable diseases through immunizations by following Centers for Disease Control (CDC) Guidance found utilizing the link below. https://www.cdc.gov/vaccines/hcp/current-vis/. The policy's origination date/effective date was 2/2/24. The policy was last revised and reviewed on 1/30/26. […]