Carol Woods

750 Weaver Dairy Road
Chapel Hill, NC, 27514
9199684511
CCN: 345199
5
Overall
4
Health
5
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
THE CHAPEL HILL RESIDENTIAL RETIREMENT CENTER, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST100%
BIESECKER, TRACYCORPORATE OFFICERNOT APPLICABLE
Health Deficiencies (7)
2024-06-06 · Health
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
B
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
B
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
2023-02-09 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
6.13
3.68
RN Hrs/Resident/Day
1.94
0.54
LPN Hrs/Resident/Day
0.56
0.81
CNA Hrs/Resident/Day
3.63
2.33
PT Hrs/Resident/Day
0.04
0.12
Data as of 2026-03-01