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Nursing HomeMedicaid

Signature Healthcare of Chapel Hill

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1602 E Franklin Street, Chapel Hill, NC 27514108 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 110 Google reviews

5
4
3
2
1
Signature Healthcare of Chapel Hill Nursing Home in Chapel Hill, NC — Street View
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What this means for your family

While the rehab therapy department is frequently cited as a major strength, the facility suffers from significant, recurring issues regarding hygiene and communication. If you choose this facility, we strongly recommend visiting daily to monitor your loved one's care, as response times and basic hygiene appear to be inconsistent.

Google Reviews

Google Reviews

110 reviews on Google
Signature Healthcare of Chapel Hill receives highly polarized feedback, with many families praising the dedicated therapy team and individual staff members, while others report severe neglect and communication failures. While some residents experience excellent, compassionate care, a significant number of reviews highlight recurring issues with hygiene, slow response times, and poor management of medical needs. Families considering this facility should be aware of the stark contrast between the positive rehab experiences and the serious concerns regarding basic daily care.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean3.0ActivitiesN/AMeds3.0Memory4.0Comms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Many individual staff members described as caring and attentive
  • Smooth and efficient admission process
  • Proactive management in specific cases

Concerns

  • Chronic understaffing and slow response to call lights (mentioned by 9 reviewers)
  • Poor hygiene, including urine odors and soiled bedding/clothing (mentioned by 8 reviewers)
  • Lack of communication and failure to return family phone calls (mentioned by 7 reviewers)
  • Inconsistent or negligent medical and wound care (mentioned by 5 reviewers)
  • Facility maintenance issues and outdated, dirty physical environment (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'10(1)'18(2)'20(9)'22(16)'24(11)'26(5)

Distribution · 111 analyzed

5
61
4
8
3
3
2
2
1
37

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily communication and return calls more consistently?
  • 2Given that physical and occupational therapy are noted as strengths here, how do you integrate those services into the daily routine for residents who need extra support?
  • 3With the facility housing 108 residents, what specific protocols are in place to ensure call lights are answered promptly and that residents receive timely assistance with hygiene and personal care?
  • 4Could you walk me through your current process for monitoring and documenting wound care to ensure that medical needs are addressed consistently?
  • 5What steps is the facility taking to refresh the living environment and address maintenance concerns to ensure a clean and comfortable space for all residents?
  • 6How do you balance the staffing ratios throughout the day to ensure that residents receive attentive care during peak hours and overnight?

Personalized based on this facility's data


Key Review Excerpts

The staff here went above and beyind for my mother during her stay. The facitity was immaculate. I would always consider this place for the care of any relative or myself in thw future.

Family member · 2023☆☆☆☆

My sisters and I live out of state, so trusting someone else with our mom’s daily care hasn’t been easy—but Signature Health in Chapel Hill has truly given us peace of mind. The staff are warm, attentive, and consistently go above and beyond.

Memory care family member · 2025★★★★★

I don’t leave negative reviews frequently, but I beg you to visit this facility before sending a loved one here. The place is falling apart. Rusted equipment, broken light switches, smell of urine, furniture decades old, depressing.

Family member · 2026☆☆☆☆
Source: 110 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.90hrs
OK
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
29%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

7

measures

Mixed Results

6

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
15.3%
NC
20.2%
Orange
9.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.0%
Worse than Avg
Here
22.0%
US
19.4%
NC
21.0%
Orange
9.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.0%
Worse than Avg
Here
19.0%
US
14.4%
NC
16.4%
Orange
9.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility90.4%
Worse than Avg
Here
90.4%
US
93.4%
NC
91.7%
Orange
98.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.5%
Mixed vs Avgs
Here
13.5%
US
19.5%
NC
21.5%
Orange
12.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.3%
Mixed vs Avgs
Here
6.3%
US
12.1%
NC
5.4%
Orange
6.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.3%
Mixed vs Avgs
Here
87.3%
US
79.7%
NC
78.1%
Orange
94.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.7%
Mixed vs Avgs
Here
88.7%
US
81.8%
NC
80.1%
Orange
95.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
NC
1.5%
Orange
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Near state avg (5.6)
9 complaint-triggered

Families have filed multiple complaints resulting in 10 deficiencies, indicating ongoing concerns about resident rights, safety protocols, and food quality. The facility shows recurring issues with fire safety systems, resident rights protections, and medication management across all surveys. While all deficiencies have correction dates, the pattern of repeated problems in fire safety and resident rights suggests persistent operational challenges that families should discuss during visits.

Jun 19, 2025Routine
2
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Jun 19, 2025Complaint
2
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0842Minimal · Pattern

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Apr 11, 2024Routine
12
0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0887Potential for harm · PatternCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0916Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Apr 11, 2024Complaint
2
0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Nov 3, 2023Complaint
5
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 23, 2023Routine
8
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0916Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Signature Healthcare of Chapel Hill

Organization Type

for profit

Chain Affiliation

Chain Name

Signature Healthcare

Chain Size

68 facilities nationwide

Chain avg rating: 3.0/5 · Rank 35 of 70

Ownership & Management

Owners

Shc Lp Holdings LLC

Owner · Organization

100%

Asbr Holdings LLC

Owner (parent company) · Organization

Jjla LLC

Owner (parent company) · Organization

Lpsnf LLC

Owner (parent company) · Organization

Wheaten LLC

Owner (parent company) · Organization

Steier III, Elmer

Owner (parent company)

Key personnel

Muhairwe, MosesW-2 Managing EmployeeHarrison, JohnOfficer / DirectorSignature Healthcare LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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