D63

Treyburn Rehabilitation Center

Grade D 63/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

132

Ownership

For profit - Limited Liability company

Total Fines

$124,534

Last Survey

N/A

2059 Torredge Road, Durham, NC 27712
9194774474

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.50h
LPN
1.15h
CNA
2.29h
Total
3.95h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SOVEREIGN HEALTHCARE HOLDINGS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2016

100%

JOHN J NOTERMANN BUSINESS TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2017

83%

FORVIS MAZARS LLP

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

SOUTHERN HEALTHCARE MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2016

SOVEREIGN HEALTHCARE DISBURSEMENTS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2014

CRONQUIST, ROYCE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

MELTON, DONALD

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2016

NOTERMANN, WILLIAM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2023

O BRIEN, PATRICK

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2019

SALTER, JON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2025

BERKADIA COMMERCIAL MORTGAGE LLC

Organization5% OR GREATER SECURITY INTERESTSince May 2014

2059, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2014

HEALTH SERVICES PROPERTIES LLC

Organization5% OR GREATER MORTGAGE INTERESTSince May 2014

Penalties & Fines (1)

$124,534total fines
DateTypeDescriptionAmount
Jun 19, 2024Fine$124,534

Health Inspection Deficiencies (26)

February 6, 2025Health1 deficiency
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Nov 29, 2024
June 19, 2024Health4 deficiencies3 severe
0580JImmediate jeopardy, Isolated

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

Resident Rights Deficiencies

Corrected Jul 8, 2024
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 8, 2024
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 8, 2024
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 8, 2024
February 29, 2024Health6 deficiencies
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Mar 27, 2024
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Mar 27, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 27, 2024
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 27, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Mar 27, 2024
0867EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Mar 27, 2024
August 11, 2023Health2 deficiencies
0607DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 1, 2023
0740EMinimal harm, Pattern

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Quality of Life and Care Deficiencies

Corrected Sep 1, 2023
March 30, 2023Health13 deficiencies
0561DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Apr 27, 2023
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Apr 27, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 27, 2023
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Apr 27, 2023
0802EMinimal harm, Pattern

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Nutrition and Dietary Deficiencies

Corrected Apr 27, 2023
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Apr 27, 2023
0867EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Apr 27, 2023
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Apr 27, 2023
0623BNo harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Apr 27, 2023
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Apr 27, 2023
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Apr 27, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Apr 27, 2023
0804EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Apr 27, 2023

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Frequently Asked Questions

What is the CareGrader rating for Treyburn Rehabilitation Center?

Treyburn Rehabilitation Center in Durham, North Carolina has a CareGrader grade of D (Below Average), with a composite score of 63.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Treyburn Rehabilitation Center?

Treyburn Rehabilitation Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Treyburn Rehabilitation Center have?

Treyburn Rehabilitation Center has 26 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Treyburn Rehabilitation Center been fined?

Yes. Treyburn Rehabilitation Center has $124,534 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Treyburn Rehabilitation Center have?

Treyburn Rehabilitation Center has 132 certified beds with approximately 96 current residents (73% occupancy). The facility is located at 2059 Torredge Road, Durham, North Carolina 27712. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.