Britthaven Of Chapel Hill

1716 LEGION ROAD
Chapel Hill, NC 27517
(919) 942-2280
General
Ratings
Deficiencies
Resident Stats
Staff Stats
Certified Beds: 133
Number of Residents: 96
Percent of Occupied Beds: 72%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital? No
Multi Nursing Home Ownership? Yes
Resident and Family Councils? Resident
Continuing Care Retirement Community? No
Quality Indicator Survey? Yes
Special Focus Facility? Yes
Overall: 2 Star Overall Rating
Health Inspection: 1 Star Health Inspection Rating
Nurse Staffing: 4 Star Nurse Staffing Rating
Quality Measures: 4 Star Quality Measures Rating
RN Only: 4 Star RN Only Rating
Date Type Category Deficiency Scope Level of Harm Date of Correction
20071129 Health Quality Care Deficiencies Give each resident care and services to get or keep the highest quality of life possible. Isolated Immediate jeopardy to resident health or safety 20080102
20071129 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20080102
20080723 Health Resident Rights Deficiencies Properly hold, secure and manage each resident's personal money which is deposited with the nursing home. Isolated Minimal harm or potential for actual harm 20080812
20081004 Health Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others. Isolated Immediate jeopardy to resident health or safety 20081201
20081004 Health Mistreatment Deficiencies 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated Immediate jeopardy to resident health or safety 20081201
20081004 Health Mistreatment Deficiencies Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. Isolated Immediate jeopardy to resident health or safety 20081201
20081017 Health Resident Assessment Deficiencies Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. Isolated Minimal harm or potential for actual harm 20081201
20081017 Health Environmental Deficiencies Make sure that the nursing home area is free of dangers that cause accidents. Isolated Immediate jeopardy to resident health or safety 20081201
20100727 Health Pharmacy Service Deficiencies 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. Pattern Immediate jeopardy to resident health or safety 20100215
20100727 Health Pharmacy Service Deficiencies Make sure that residents are safe from serious medication errors. Pattern Immediate jeopardy to resident health or safety 20100215
20100727 Health Quality Care Deficiencies Give professional services that meet a professional standard of quality. Pattern Immediate jeopardy to resident health or safety 20100215
20100727 Health Mistreatment Deficiencies Protect each resident from all abuse, physical punishment, and being separated from others. Pattern Immediate jeopardy to resident health or safety 20100727
  Value Notes
Percent of long-stay residents given influenza vaccination during the flu season: 93
Percent of long-stay residents who were assessed and given pneumococcal vaccination: 93
Percent of long-stay residents whose need for help with daily activities has increased: 17
Percent of long-stay residents who have moderate to severe pain: 2
Percent of high-risk long-stay residents who have pressure sores: 13
Percent of low-risk long-stay residents who have pressure sores: 2
Percent of long-stay residents who were physically restrained: 5
Percent of long-stay residents who are more depressed or anxious: 26
Percent of low-risk long-stay residents who lose control of their bowels or bladder: 64
Percent of long-stay residents who have/had a catheter inserted and left in their bladder: 4
Percent of long-stay residents who spend most of their time in bed or in a chair: 8
Percent of long-stay residents whose ability to move about in and around their room got worse: 12
Percent of long-stay residents who had a urinary tract infection: 10
Percent of long-stay residents who lose too much weight: 10
Percent of short-stay residents given influenza vaccination during the flu season: 87
Percent of short-stay residents who were assessed and given pneumococcal vaccination: 88
Percent of short-stay residents who have delirium: 0
Percent of short-stay residents who had moderate to severe pain: 11
Percent of short-stay residents who have pressure sores: 15
# of Residents: 96
# RN Hours per Resident: 0.72
# LPN Hours per Resident: 1.04
# CNA Hours per Resident: 3.21
Total Staff Hours per Resident: 1.76