Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chapel Hill Community during CMS and state inspections, most recent first.
A resident with multiple complex conditions, including end stage renal disease, did not have consistent or complete communication between the facility and the dialysis center regarding their hemodialysis treatments. Documentation in the dialysis communication binder was often incomplete or missing, and staff interviews confirmed that required forms were not always filled out or sent with the resident, resulting in lapses in the transfer of critical health information.
A resident with a Stage III pressure ulcer and cognitive impairment did not receive proper enhanced barrier precautions during wound care, as two LPNs failed to don required PPE before entering the room. There was also no PPE cart, notification signage, or soiled linen bins available, despite physician orders and facility policy requiring these measures.
A resident reported bumping her forehead on a handrail, resulting in a bruise. Although the incident was reviewed and the physician and POA were notified, there was no documented skin assessment by the RN as required by facility policy.
The facility failed to prevent the misappropriation of resident narcotic medications by a staff member, affecting two residents. An RN discovered that oxycodone pills prescribed to a resident had been replaced with primidone pills from another resident's supply. The facility's investigation identified an LPN as responsible, who was subsequently terminated. The incident was reported to relevant authorities, and immediate corrective actions were taken.
Failure to Ensure Consistent Communication for Dialysis Care
Penalty
Summary
The facility failed to ensure consistent and accurate communication between the facility and the dialysis center regarding a resident's health information and hemodialysis treatments. The resident, who had diagnoses including paraplegia, end stage renal disease, acute kidney failure, and type 1 diabetes mellitus with hypoglycemia, had physician orders for hemodialysis twice weekly at an outside facility, with specific instructions for sending a dialysis book, obtaining pre- and post-dialysis vital signs and assessments, and checking the dialysis site. However, review of the dialysis communication binder revealed only five communication forms for a four-month period, with several forms either incomplete, missing required information such as names, dates, or nurse signatures, or left entirely blank for both pre- and post-dialysis documentation. Interviews with the DON and a dialysis RN confirmed that the communication forms were not consistently completed or sent with the resident, and that the dialysis center did not always receive the necessary information. The DON acknowledged the lack of complete documentation and stated that the communication binder had only recently been implemented due to previous issues obtaining notes from the dialysis facility. Facility policy required facilitation of outpatient dialysis services to ensure uninterrupted care, but the observed documentation practices did not meet these requirements.
Failure to Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to implement enhanced barrier precautions (EBP) during wound care for a resident with a Stage III pressure ulcer on the mid back. The resident, who had a history of right shoulder fracture, dementia, and depression, required assistance with activities of daily living and had impaired cognition. Physician orders and care plans specified the use of EBP, including donning gown and gloves during high-contact care activities such as wound care, and indicated the need for EBP every shift due to the wound. During an observed dressing change, two LPNs entered the resident's room, washed their hands, and donned gloves, but did not don the required PPE (gown and gloves) prior to entering the room as per EBP protocol. Additionally, there was no PPE cart, no notification sign indicating EBP precautions, and no soiled linen bins available in or outside the room. Staff confirmed the absence of these required items and acknowledged the resident was on EBP for the wound, as per facility policy and physician orders.
Failure to Assess and Document Resident's Skin After Reported Injury
Penalty
Summary
A deficiency occurred when a resident reported bumping her forehead on a handrail while sitting on the commode, resulting in a small, faint bruise. The incident was disclosed by the resident the following day, at which time she denied pain, dizziness, or blurred vision. The resident's daughter and physician were notified, and the interdisciplinary team reviewed the incident. However, there was no evidence in the medical record that a skin assessment was performed following the incident. The Director of Nursing confirmed that the registered nurse who spoke with the resident did not complete a full skin assessment after the resident reported the injury. Facility policy requires documentation of the incident, including first aid, vital signs, and results of a physical assessment such as bruises or other injuries. The lack of a documented skin assessment following the reported incident constituted non-compliance with facility policy.
Misappropriation of Resident Medications by Staff Member
Penalty
Summary
The facility failed to ensure resident narcotic medication was not misappropriated by a staff member, affecting two residents. Resident #73, who had diagnoses including spinal stenosis and congestive heart failure, was prescribed oxycodone for pain relief. Resident #23, with diagnoses including end-stage renal disease and congestive heart failure, was prescribed primidone for tremors. On 03/31/24, RN #119 discovered that Resident #73's oxycodone medication blister card had been tampered with and reported it to the facility administrator. The pharmacist later confirmed that six oxycodone pills had been replaced with six primidone pills from Resident #23's medication supply. The facility's investigation identified LPN #121 as the staff member responsible for the diversion of the narcotic medications, and LPN #121 was subsequently terminated. The facility's policy on abuse, mistreatment, neglect, exploitation, and misappropriation of resident property was reviewed, indicating that residents have the right to be free from such actions. Interviews with the Director of Nursing and RN #119 confirmed the misappropriation of the medications. The incident was reported to local police, the State Survey Agency, the Pharmacy Board, and the Board of Nursing. The facility took immediate actions to address the issue, including re-educating nursing staff on narcotic counting, pain assessment, and pain interventions, and conducting a facility-wide audit of narcotic books and counting procedures.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 759 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Canal Fulton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Pavilion At Canal Fulton For Nursing And Rehab | 2.5 mi | ★★★★★ | 0 | 0 |
| Rose Lane Nursing And Rehabilitation | 3.7 mi | ★★★★★ | 15 | 0 |
| St Luke Lutheran Community-portage Lakes | 4.8 mi | ★★★★★ | 0 | 0 |
| Altercare Of Nobles Pond, Inc | 5.7 mi | ★★★★★ | 7 | 0 |
| Amherst Meadows Skilled Nursing And Rehab | 6.2 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Chapel Hill Community.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.