Federal inspection record · CMS data as of October 1, 2026
Treyburn Rehabilitation Center
2059 Torredge Road, Durham, NC · (919) 477-4474
- Certified beds
- 132
- Residents per day
- 101
- Ownership
- For-Profit
- Chain
- Sovereign Healthcare Holdings
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 16, 1994
1
How this home got 3 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.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Treyburn Rehabilitation Center carries 52.25 inspection points. That is fewer than 32% 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
14 health citations on record since 2024. 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.
Harm and immediate-jeopardy citations (3)
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Rights2D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Quality of Life and Care1D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service1D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-06-30
3 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
2025-03-20
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-02-29
10 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 37 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 37 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 62% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$124,534 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-19 | Fine | $124,534 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.9 pts better | 96.3% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better | 96.8% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.4 pts better | 4.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.8 pts better | 4.3% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.9 pts better | 14.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.5 pts worse | 15.4% | 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 ability to walk independently worsened2 pts better | 14.6% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts better | 14.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 22.0% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 6.6% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 87.9% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts better | 5.4% | 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 vaccine10.4 pts better | 91.5% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse | 22.4% | 22.2% | 23.4% |
·
Who owns and runs it
31 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 |
|---|---|---|---|
| 2059, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| 2059, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Berkadia Commercial Mortgage LLC | 5% Or Greater Security Interest · Organization | 0% | 28 facilities |
| Chery, Dawn | Managing Control - Governing Body · Individual | 0% | 39 facilities |
| Chery, Dawn | Adp Of The SNF · Individual | 0% | 39 facilities |
| Cronquist 2015 Family Tr | Indirect Ownership Interest · Organization | 0% | 36 facilities |
| Cronquist, Royce | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Cronquist, Royce | Adp Of The SNF · Individual | 0% | 43 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Health Services Properties LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 27 facilities |
| Health Services Properties LLC | Adp Of The SNF · Organization | 0% | 27 facilities |
| Kaar, Susan | Managing Control - Governing Body · Individual | 0% | 38 facilities |
| Kaar, Susan | Adp Of The SNF · Individual | 0% | 38 facilities |
| Kelly, Michelle | Adp Of The SNF · Individual | 0% | 43 facilities |
| Mangine, John | Indirect Ownership Interest · Individual | 0% | 39 facilities |
| Mangine, John | Adp Of The SNF · Individual | 0% | 39 facilities |
| Melton, Donald | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Melton, Donald | Adp Of The SNF · Individual | 0% | 43 facilities |
| Notermann, Brenda | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Notermann, William | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Notermann, William | Adp Of The SNF · Individual | 0% | 37 facilities |
| O Brien, Patrick | Operational/Managerial Control · Individual | 0% | 6 facilities |
| O Brien, Patrick | Adp Of The SNF · Individual | 0% | 6 facilities |
| Peck, Robert | Managing Control - Governing Body · Individual | 0% | 8 facilities |
| Peck, Robert | Adp Of The SNF · Individual | 0% | 8 facilities |
| Salter, Jon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Salter, Jon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Southern Healthcare Management LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Sovereign Healthcare Disbursements LLC | Operational/Managerial Control · Organization | 0% | 33 facilities |
| Sovereign Healthcare Disbursements LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- 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 Systems6F
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
Construction2D
- D
Use approved construction type or materials.
- D
Use approved construction type or materials.
Miscellaneous2F
- D
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
Egress1D
- D
Meet other general requirements.
·
Other homes nearby
-
Accordius Health at Rose Manor LLC
Durham, NC · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 39 min
- Fines
- $16,801
-
Carver Living Center
Durham, NC · Cch Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $45,711
-
Croasdaile Village
Durham, NC · Life Care Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 28 min
- Fines
- $25,275