Home / North Carolina / Durham
Pettigrew Rehabilitation Center
1515 W Pettigrew Street, Durham, NC 27705 · Durham County · (919) 286-0751
96 certified beds, about 82 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1969
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345053 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 11, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 15 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.52 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
60.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Sovereign Healthcare Holdings, an affiliated group of 43 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
604/24
603/25
306/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
3E
1F
Potential for minimal harm
0A
1B
0C
June 11, 2026Standard inspection, Complaint inspection · 3 citations
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a clean and homelike environment in 5 of 32 resident rooms on 2 of 3 halls which affected nine (9) residents reviewed for a safe, comfortable, and homelike environment (Resident #11, Resident #84, Resident #23, Resident #16, Resident #6, Resident #66, Resident #51, Resident #61, and Resident #71).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of PASRR (Preadmission Screening and Resident Review) (Resident #4 and Resident #8), and medications (Resident #1 and Resident #7) for 4 of 6 residents whose MDS assessments were reviewed.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observations, record review and resident and staff interviews, the facility failed to store a plastic syringe used for enteral water flushes (water flushes are essential to maintain gastrostomy/feeding tube patency, prevent clogging and support hydration), dry and with the plunger separated from the syringe and free from moisture for 1 of 3 residents reviewed for tube feeding (Resident #5). This practice had the potential for bacterial growth and contamination.
March 7, 2025Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, the facility failed to: 1) Maintain the chemical sanitizing solution of the dish machine at the correct concentration according to the manufacturer's recommendations; 2) Change gloves/wash hands between handling soiled and clean dishes to prevent cross-contamination of the clean dishes and failed to allow all clean dishware to air dry; 3) Dispose of expired food items and seal, label, and/or date opened food items observed in food storage areas; 4) Cover facial hair for 4 of 4 Dietary staff observed with facial hair and working in food preparation (Cook #1, [NAME] #2, Dietary Aide #1 and Dietary Aide #2); and 5) Keep the kitchen food service equipment and vents clean within the Dietary Department. These practices had the potential to affect food served and distributed to 74 of 79 residents who received an oral diet.
- E 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.
Inspectors wroteBased on observations and staff interviews, manufacturer's literature review, the facility failed to date opened multi-dose vials of insulin medication in 2 of 5 medication administration carts (Long and Short halls), failed to discard expired insulin pens in 1 of 5 medication administration carts (Short hall) and discard loose pills in the medication cart drawers for 3 of 5 medication administration carts (Rehabilitation, Long and Short halls). Findings Included: a. On 3/3/25 at 10:00 AM, an observation of the medication administration cart of Rehabilitation Hall with Nurse #6 revealed in the second drawer of the medication cart, which contained over-the-counter medications, there were noted three white loose pills and two yellow round-shaped loose pills and one blue oval shape loose pill. [...]
- 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.
Inspectors wroteBased on record review, and staff and Physician interviews, the facility failed to ensure an effective system was in place in order that a resident's advance directive to not be resuscitated was honored when she was discovered unconscious and without pulse or respirations. This was for 1 of 22 residents reviewed for advanced directive (Resident #80).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interviews and record reviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the area of Preadmission Screening and Resident Review (PASRR) Level II status for 1 of 3 residents (Resident #4) reviewed who were determined to have a PASRR Level II status.
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to provide Registered Nurse (RN) coverage at least 8 consecutive hours per day, 7 days per week for 1 of of 32 days reviewed for staffing (03/03/25).
- B Post nurse staffing information every day.
Inspectors wroteBased on observation, staff interviews and record review, the facility failed to post daily nurse staffing data for 3 of 3 days reviewed (03/01/25, 03/02/25, 03/03/25).
April 18, 2024Standard inspection, Complaint inspection · 6 citations
- E Provide appropriate foot care.
Inspectors wroteBased on observations, resident interview, staff interview and record reviews, the facility failed to provide foot care and arrange podiatry services for 2 of 2 dependent residents reviewed for foot care. Resident #4 was discovered to have a buildup of skin between her toes and had curled toenails which extended 1.5 inches beyond the base of the nail. Resident #81 was discovered to have thick layers of skin between the toes, thick, dry patches on the bottoms of his feet and long toenails beyond the base of the nail growing into the next toe. (Resident #4 and Resident #81).
- E Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to complete a performance review every 12 months to provide in-service education based on the outcome of the performance reviews for 3 of 5 nursing assistants (NAs) reviewed (NA # 1, #2, and #3).
- 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.
Inspectors wroteBased on records review, and staff interviews, the facility failed to obtain and verify Advance Directives (code status) in the residents' records (Resident #191) and failed to clarify code status in the residents' record (Resident # 75) for 2 of 2 residents reviewed for Advance Directives.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete the Interview for Activity Preferences of the comprehensive Minimum Data Set (MDS) for 2 of 2 cognitively impaired residents reviewed for activities (Resident #12 and Resident #81).
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observations, resident and staff interviews and record reviews, the facility failed to provide an on-going activity program that met the individual interests and needs for 2 of 2 cognitively impaired residents reviewed for activities (Resident #12 and Resident #81).
- D 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.
Inspectors wroteBased on observations, record review, and staff interview the facility failed to secure medications stored in the room/bathroom for 1 of 1 resident (Resident #62) reviewed for medication storage.
Fire safety inspections
10 fire safety citations on file: 2 on March 7, 2025, 3 on April 18, 2024, 5 on February 9, 2023.
Every fire safety citation10 citations
- E Have proper medical gas storage and administration areas.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have properly installed electrical wiring and gas equipment.
- F Use approved construction type or materials.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.52 | 3.85 | 3.86 |
| Registered nurses | 0.45 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.15 | 3.42 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 60.7% | 49.0% | 45.8% |
| Registered nurse turnover | 72.2% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.68 on weekdays and 3.15 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.46 in April to June 2025 to 3.52 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.52 | 0.45 | 3.68 | 3.15 | 6.5% | 0 of 90 | 82 |
| Oct to Dec 2025 | 3.57 | 0.60 | 3.77 | 3.06 | 8.4% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.48 | 0.54 | 3.67 | 3.00 | 9.1% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.46 | 0.55 | 3.74 | 2.75 | 11.0% | 0 of 91 | 82 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.7 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.7 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: PETTIGREW REHABILITATION CENTER LLC. CMS links this home to Sovereign Healthcare Holdings, a group of 43 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sovereign Carolina Holdings LLC | Direct ownership interest | Organization | 03/06/2014 | |
| Cronquist 2015 Family Tr | Indirect ownership interest | Organization | 12/31/2015 | |
| John J Notermann Business Tr | Indirect ownership interest | Organization | 11/12/2017 | |
| Mangine, John | Indirect ownership interest | Individual | 05/01/2014 | |
| Peck, Robert | Managing control - governing body | Individual | 06/29/2026 | |
| Southern Healthcare Management LLC | Operational/managerial control | Organization | 05/14/2014 | |
| Burke, Rachael | Operational/managerial control | Individual | 05/20/2025 | |
| Cronquist, Royce | Operational/managerial control | Individual | 05/01/2014 | |
| Mangine, John | Operational/managerial control | Individual | 05/01/2014 | |
| Melton, Donald | Operational/managerial control | Individual | 05/01/2014 | |
| O Brien, Patrick | Operational/managerial control | Individual | 01/25/2016 | |
| Notermann, Brenda | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/11/2025 | |
| Southern Healthcare Management LLC | Adp of the SNF | Organization | 04/11/2025 | |
| Burke, Rachael | Adp of the SNF | Individual | 05/20/2025 | |
| Cronquist, Royce | Adp of the SNF | Individual | 02/01/2018 | |
| Kelly, Michelle | Adp of the SNF | Individual | 02/01/2018 | |
| Mangine, John | Adp of the SNF | Individual | 05/01/2014 | |
| Melton, Donald | Adp of the SNF | Individual | 05/01/2014 | |
| O Brien, Patrick | Adp of the SNF | Individual | 01/25/2016 | |
| Peck, Robert | Adp of the SNF | Individual | 06/29/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 11, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 11, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on June 11, 2026: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on March 7, 2025: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Hillcrest Convalescent Center Durham, 0.1 mi · 5 of 5 stars · 0 citations
- University Health and Rehabilitation Center Durham, 1.7 mi · 1 of 5 stars · 37 citations
- Pruitthealth-Durham Durham, 1.7 mi · 1 of 5 stars · 49 citations
- The Forest at Duke Inc Durham, 2.7 mi · 4 of 5 stars · 1 citation
- Croasdaile Village Durham, 2.8 mi · 4 of 5 stars · 6 citations
- Carver Living Center Durham, 2.8 mi · 1 of 5 stars · 44 citations
- Accordius Health at Rose Manor LLC Durham, 3.1 mi · 2 of 5 stars · 38 citations
- Pruitthealth-Carolina Point Durham, 4.3 mi · 1 of 5 stars · 18 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Pettigrew Rehabilitation Center's Medicare star rating?
- CMS rates Pettigrew Rehabilitation Center 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pettigrew Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on June 11, 2026. The North Carolina average is 4.7.
- Has Pettigrew Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Pettigrew Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Pettigrew Rehabilitation Center?
- CMS lists 20 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: PETTIGREW REHABILITATION CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.