Federal inspection record · CMS data as of October 1, 2026
Carol Woods
750 Weaver Dairy Road, Chapel Hill, NC · (919) 968-4511
- CMS high-performer trophy
- Certified beds
- 30
- Residents per day
- 27
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare
- Certified since
- January 30, 1980
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Carol Woods carries 8 inspection points. That is fewer than 82% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Administration2F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning2B
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- B
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights1D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspection history
2025-06-26
0 health deficiencies · 7 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-06-06
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-02-09
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 5 h 15 min of nursing staff time a day, 1 h 48 min of it from a registered nurse.
This home
5 h 15 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 46% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better | 100.0% | 92.4% | 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts better | 0.0% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.8 pts worse | 13.9% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.1 pts better | 0.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.9 pts better | 0.0% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 13.3% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder4.2 pts worse | 4.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection16.1 pts worse | 18.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9 pts better | 10.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 6.4% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.1 pts better | 89.6% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7 pts better | 5.7% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.5 pts worse | 68.6% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission22.2 pts better | 0.0% | 22.2% | 23.4% |
·
Who owns and runs it
2 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Biesecker, Tracy | Corporate Officer · Individual | 0% | 1 facilities |
| The Chapel Hill Residential Retirement Center, Inc. | Direct Ownership Interest · Organization | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5D
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Services1D
- D
Have elevators that firefighters can control in the event of a fire.
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Other homes nearby
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Signature Healthcare of Chapel Hill
Chapel Hill, NC · Signature Healthcare · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Parkview Health and Rehabilitation Center
Chapel Hill, NC · Liberty Senior Living
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 26 min
- Fines
- $0
-
PruittHealth-Carolina Point
Durham, NC · Pruitthealth
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $52,901