Abuse.com - BRITTHAVEN OF CHAPEL HILL

Abuse.com Nursing Home Profile

Detailed information for BRITTHAVEN OF CHAPEL HILL

Nursing Home Results

Contact Information:
  Long Term Care Ombudsman Not Available
  State Survey Agency Not Available
  State Quality Improvement Organization Not Available

BRITTHAVEN OF CHAPEL HILL As of 11/06/2003
1716 LEGION RD
CHAPEL HILL, NC 27514
(919) 942-2280
Not located within a Hospital
Resident Councils Only
133 Certified Beds
Initial Date of Certification: 11/20/1990
Type of Ownership: For profit - Corporation
A Multi-Nursing home (chain) Ownership
Medicare Certified
Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

Nursing Home Staffing information comes from reports that the nursing home reports to its state survey agency. It contains the nursing staff hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts the reported information into the number of staff hours per resident per day.

Quality Measures

Quality Measures Percentage for BRITTHAVEN OF CHAPEL HILL Average in National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased 20%   16%
Percent of Residents Who Have Moderate to Severe Pain 15%   6%
Percent of High-Risk Residents Who Have Pressure Sores 4%   14%
Percent of Low-Risk Residents Who Have Pressure Sores 0%   3%
Percent of Residents Who Were Physically Restrained 10%   8%
Percent of Residents Who are More Depressed or Anxious 50%   15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder 54%   47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder 2%   6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair 5%   4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse 26%   13%
Percent of Residents With a Urinary Tract Infection 19%   8%
Percent of Short-Stay Residents With Delirium 1%   3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain 43%   22%
Percent of Short-Stay Residents With Pressure Sores 5%   21%

Inspection Results

BRITTHAVEN OF CHAPEL HILL
1716 LEGION RD
CHAPEL HILL, NC 27514
(919) 942-2280
Date of this inspection: 11/06/2003
Complaint Investigations During: 04/01/2003 - 06/30/2004
Total number of health deficiencies for this nursing home: 14
Average number of Health Deficiencies in : 5
Average number of Health Deficiencies in the United States: 7
Range of Health Deficiencies in : 1 - 12
View Previous Inspection Results
Quality Care Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

Residents Affected

(Few -> Some -> Many)

1. Give professional services that meet a professional standard of quality.

(08/20/2003)
09/17/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
2. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

(08/20/2003)
09/17/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
3. Give professional services that meet a professional standard of quality.

(11/06/2003)
12/18/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
4. Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.

(11/06/2003)
12/18/2003
3 = Actual harm

Actual harm
Few
5. Make sure that residents with loss of bladder control receive treatment or service to prevent infections and help get normal bladder control.

(11/06/2003)
12/18/2003
3 = Actual harm

Actual harm
Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

Residents Affected

(Few -> Some -> Many)

6. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.

(08/20/2003)
09/17/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
7. Keep each resident's personal and medical records private and confidential.

(08/20/2003)
09/17/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
8. Let residents give themselves their drugs if they are able.

(11/06/2003)
12/18/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

Residents Affected

(Few -> Some -> Many)

9. 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.

(11/06/2003)
12/18/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Some
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

Residents Affected

(Few -> Some -> Many)

10. 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.

(11/06/2003)
12/18/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
11. Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

(11/06/2003)
01/15/2004
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

Residents Affected

(Few -> Some -> Many)

12. Get rid of garbage properly.

(11/06/2003)
12/18/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Many
13. Keep safe, clean and homelike surroundings.

(11/06/2003)
12/18/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Some
Administration Deficiencies
Inspectors determined that the nursing home failed to: Date of Correction Level of Harm

(Least -> Most)

Residents Affected

(Few -> Some -> Many)

14. Give or get x-rays and other tests to meet the needs of residents.

(08/20/2003)
09/17/2003
2 = Minimal harm or potential for actual harm

Minimal harm or potential for actual harm
Few

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
  BRITTHAVEN OF CHAPEL HILL State Average in National Average
Number of Residents 128 42.8 89.2
RN Hours per Resident per Day* 0.72 1.7 0.7
LPN/LVN Hours per Resident per Day* 0.63 0.7 0.8
CNA Hours per Resident per Day* 2.15 4 2.4
Total Number of Nursing Staff Hours per Resident per Day* 3.5 6.4 3.9
*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004


 

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