Signature Healthcare of Chapel Hill

Name: Signature Healthcare of Chapel Hill
Address: 1602 E Franklin Street, Chapel Hill, NC, 27514, US
Telephone: 9199671418

1602 E Franklin Street, Chapel Hill, NC 27514 · Orange County · 108 certified beds · avg 96 residents/day · certified since Aug 31, 1982

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.88

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 19, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 19, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jun 19, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 19, 2025	B · Minimal risk, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Apr 11, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to manage their own money and financial affairs.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Apr 11, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint
Nov 3, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Nov 3, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Nov 3, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Nov 3, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 3, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 23, 2023	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Mar 23, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 4).

Year	Citations	Worst severity that year
2023	9	E
2024	7	E
2025	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.88	4.01	3.95	top 37% in North Carolina; top 45% in the U.S.
Registered Nurse hours	0.90	0.64	0.69	top 16% in North Carolina; top 20% in the U.S.
Weekend total nurse staffing	3.35	3.56	3.50	top 44% in North Carolina; bottom 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.60	0.41	0.48	top 16% in North Carolina; top 23% in the U.S.
Total nursing staff turnover (%)	58.3	49.0	45.8	bottom 28% in North Carolina; bottom 19% in the U.S.
RN turnover (%)	38.9	45.7	42.9	top 39% in North Carolina; top 45% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.59, RN 0.84, weekend 3.10. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Asbr Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2018
Jjla LLC	Organization	5% or Greater Indirect Ownership Interest	—	08/01/2014
LPSNF LLC	Organization	5% or Greater Indirect Ownership Interest	—	08/01/2014
SHC LP Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	08/01/2014
Steier III, Elmer	Individual	5% or Greater Indirect Ownership Interest	—	08/01/2014
Wheaten LLC	Organization	5% or Greater Indirect Ownership Interest	—	08/01/2014
Harrison, John	Individual	Corporate Officer	NOT APPLICABLE	08/01/2014
Muhairwe, Moses	Individual	W-2 Managing Employee	NOT APPLICABLE	09/01/2020
Signature Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you keep residents' medical records accurate, complete, and secure?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"How are residents and families included in care plan meetings, and how often do those meetings happen?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"How are residents' personal funds handled here, and what records can families review?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Parkview Health and Rehabilitation Center	1.4 mi	Chapel Hill, NC	★★★★★	5/5
The Cedars of Chapel Hill	2.1 mi	Chapel Hill, NC	★★★★☆	5/5
Carol Woods	2.2 mi	Chapel Hill, NC	★★★★★	4/5
Pruitthealth-Carolina Point	4.4 mi	Durham, NC	★☆☆☆☆	2/5
The Forest at Duke INC	5.4 mi	Durham, NC	★★★★☆	5/5
Southpoint Rehabilitation and Healthcare Center	5.7 mi	Durham, NC	★☆☆☆☆	1/5	abuse
Pruitthealth-Durham	6.7 mi	Durham, NC	★☆☆☆☆	1/5
University Health and Rehabilitation Center	7.3 mi	Durham, NC	★☆☆☆☆	1/5
Pettigrew Rehabilitation Center	8.0 mi	Durham, NC	★★★★☆	3/5
Hillcrest Convalescent Center	8.0 mi	Durham, NC	★★★★★	5/5
Croasdaile Village	8.9 mi	Durham, NC	★★★★☆	4/5
Peak Resources - Brookshire, INC	10.1 mi	Hillsborough, NC	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Chapel Hill →

Facility data as of CMS processing date 2026-08-01. CCN 345225.

The Care File

Visit checklist — Signature Healthcare of Chapel Hill

1602 E Franklin Street, Chapel Hill, NC 27514 · 9199671418

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "How are residents and families included in care plan meetings, and how often do those meetings happen?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "How are residents' personal funds handled here, and what records can families review?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345225 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)