Signature Healthcare Of Chapel Hill - 3-Star Rehab Facility in Chapel Hill, NC | PlacetClinical Quality Indicators
Long-stay residents — lower is better
Antipsychotic medication use 15.38%Falls causing major injury 4.48%Pressure ulcers (high-risk) 4.95%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Jun 2025 (308 days ago)🔍 Health Inspection
3/5
★★★☆☆
📊 Quality Measures
3/5
★★★☆☆
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 35 min · US avg: 41 min
Total Nurse / Resident / Day
3h 36m
State avg: 3h 47m · US avg: 3h 53m
9 min
State avg: 5 min · US avg: 4 min
61 per 100
State avg: 50 per 100 · US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
54%below avg
US avg: 64%
Total Nurse Weekend
3h 13m
Federal Penalties
No federal penalties in the past 3 years.
✅ No penalty records on file
Inspection Citations
Survey: June 19, 2025(12 citations)
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Assessment and Care Planning DeficienciesComplaint
🟡 Potential for HarmPharmacy Service Deficiencies
🟡 Potential for HarmNutrition and Dietary Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
⚪ MinimalResident Assessment and Care Planning DeficienciesComplaint
Survey: April 11, 2024(21 citations)
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for Harm
Survey: November 3, 2023(15 citations)
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Survey: March 23, 2023(12 citations)
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for Harm
24.1 per 100
State avg: 22.9 · US avg: 23.9
17.1 per 100
State avg: 13.2 · US avg: 12.0
4.5 per 100
State avg: 3.6 · US avg: 3.3
5.0 per 100
State avg: 6.0 · US avg: 5.1
1.1 per 100
State avg: 1.5 · US avg: 1.6
87.3 per 100
State avg: 78.1 · US avg: 79.7
Rates shown per 100 patients · Green = better than average · Amber = average · Red = below average
VBP Performance Score
4/100
Incentive Payment
-1.95% penalty
Healthcare-Assoc. Infections
8.3 per 100
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Medicare Patients/Year
107
Avg Length of Stay
28.0 days
Avg Payment / Stay
$14,542.57
Patient Complexity
2.91 × avg
Avg LOS 15-30 days is typical for short-term rehab · Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
Administration Deficiencies
Complaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmResident Rights Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
🟡 Potential for HarmAdministration DeficienciesComplaint
🟡 Potential for Harm
Resident Rights Deficiencies
Complaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmQuality of Life and Care DeficienciesComplaint
🟡 Potential for HarmNutrition and Dietary DeficienciesComplaint
Infection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint
🟡 Potential for HarmResident Assessment and Care Planning Deficiencies
🟡 Potential for HarmQuality of Life and Care Deficiencies
🟡 Potential for HarmInfection Control Deficiencies
🟡 Potential for HarmResident Rights DeficienciesComplaint