Home / North Carolina / Durham
Treyburn Rehabilitation Center
2059 Torredge Road, Durham, NC 27712 · Durham County · (919) 477-4474
132 certified beds, about 100 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345458 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 30, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 14 health citations since February 2024, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 1 fine totaling $124,534 in the last three years; the largest was $124,534, and the latest is dated June 19, 2024.
Nurses and nurse aides worked 3.66 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.
69.2% 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.
602/24
406/24
102/25
003/25
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
9D
2E
0F
Potential for minimal harm
0A
0B
0C
June 30, 2026Standard inspection, Complaint inspection · 3 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, record review and interviews with staff and resident, the facility failed to get the resident out of bed for 3 consecutive days which caused the resident to feel frustrated because he was stuck in bed. The deficient practice affected 1 of 2 residents reviewed for choices (Resident #100).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff, Responsible Party, Cancer Clinic Supervisor, Physician, and Oncologist interviews the facility failed to ensure that Resident #93 with metastatic prostate cancer received the medically necessary recommended six-month oncology follow-up appointment for 1 of 1 sampled resident reviewed for medically necessary oncology follow-up services.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and staff interviews, the facility failed to follow a pharmacy recommendation to discontinue a medication for 1 of 5 residents reviewed for unnecessary medication (Resident #100).
March 20, 2025Standard inspection · 0 citations
February 6, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interviews with staff and residents, the facility failed to protect the right of a resident (Resident # 2) to be free of abuse when another resident (Resident # 3), who was experiencing an increase in agitated behaviors while diagnosed with a urinary tract infection, hit Resident # 2 in the head with a reacher. (A reacher is a metal assistive device used to grab items that are out of reach). This was for one of three residents reviewed for abuse and neglect.
June 19, 2024Complaint inspection · 4 citations
- J Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews with staff, Responsible Party (RP) and Physicians the facility failed to immediately notify the responsible party when Resident # 6's intravenous fluids (IV) infiltrated (IV fluids going into the surrounding tissue instead of the vein), and the fluids were placed on hold. At the time of infiltration, the resident had already been identified to have new swallowing problems, nausea, and no food intake for multiple consecutive meals. Resident # 6's family reported she would have requested the resident be sent to the hospital if she had known about any delay with the IV fluids. After the IV infiltration, the resident was transferred hours later to the hospital and admitted to the Intensive Care Unit for a principal diagnosis of sepsis. [...]
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews with staff, resident, Responsible Party (RP, ) Nurse Practitioner, Physician Assistants, and Physicians the facility failed to effectively communicate amongst their staff and with the medical providers and family and to ensure assessment and treatment occurred for a resident who was showing signs of a change in condition and whose family had initially requested the resident be transferred to the hospital but agreed with facility treatment based on the understanding the resident would receive appropriate evaluation and treatment at the nursing home. [...]
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews, the facility failed to investigate the root cause of the repeated falls and provide supervision to prevent more falls from occurring. One of these falls required hospital intervention with sutures for lacerations to the nose and forehead and another fall the same day required hospital intervention with additional sutures to the back of the head. This resident did not return to the facility after the last fall with injury. This deficient practice was identified for 1 of 3 residents reviewed for accidents (Resident #8).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interviews, the facility failed to maintain a complete and accurate medical record by not obtaining a Physician order to hold Intravenous fluids, incomplete oral intake records and inaccurate medication administration times on 5/28/24 that did not match the times Nurse #8 reported administering the medications for Resident #6. This was for 1 of 12 residents reviewed for complete and accurate medical records.
February 29, 2024Standard inspection, Complaint inspection · 6 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review and interviews the facility failed to discard expired food from the walk-in refrigerator, label and date thickened liquids in reach-in refrigerator and maintain the kitchen equipment and bin holding scoops and ladles clean. The facility failed to label, and date opened dietary supplements and thickened liquids, and discard expired food from 2 of 2 nourishment refrigerator (Nourishment refrigerator in Kitchenette #2 and Kitchenette #1). These practices had the potential to affect food served to the residents.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record reviews, resident and staff interviews, the facility's Quality's Assessment and Performance Improvement (QAPI) Committee failed to maintain implemented procedures and monitor the interventions that were put in place following the annual recertification and complaint survey conducted on 3/30/23. This was for recited deficiencies in the areas of Food Procurement/Prepare/serve-Sanitary (F812) and Care Plan Timing and Revision(F657). These deficiencies were recited during an annual recertification and complaint survey conducted on 2/29/24. The continued failure of the facility during two federal surveys of record showed a pattern of the facility's inability to sustain an effective QAPI program.
- 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 have Advance Directives (code status) in the residents' records for 1 of 1 resident reviewed for Advance Directives (Resident #41).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, resident, and staff interviews, the facility failed to complete a thorough investigation for an allegation of physical abuse for 1 of 3 residents (Resident # 68) investigated for abuse.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, and staff interview the facility failed to conduct a baseline care plan within 72 hours of admission for 2 of 2 residents reviewed for base line care plan. (Resident #91 and Resident #252).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record reviews, resident and staff interviews the facility failed to involve residents and/or resident's representatives in the care planning process for 1 of 1 sampled resident reviewed for care plan participation (Residents # 41).
Fire safety inspections
25 fire safety citations on file: 8 on March 20, 2025, 5 on February 29, 2024, 12 on March 30, 2023.
Every fire safety citation25 citations
- 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 Use approved construction type or materials.
- D Meet other general requirements.
- 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 heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have simulated fire drills held at unexpected times.
- D Have proper medical gas storage and administration areas.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- F Have properly installed electrical wiring and gas equipment.
- 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.
- D Use approved construction type or materials.
- 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.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 19, 2024 | Fine | $124,534 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.66 | 3.85 | 3.86 |
| Registered nurses | 0.46 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.43 | 3.42 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 69.2% | 49.0% | 45.8% |
| Registered nurse turnover | 83.3% | 45.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.52 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 3.76 on weekdays and 3.43 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.66 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 | 3.66 | 0.46 | 3.76 | 3.43 | 5.8% | 0 of 90 | 100 |
| Oct to Dec 2025 | 3.63 | 0.51 | 3.77 | 3.26 | 11.6% | 0 of 92 | 101 |
| Jul to Sep 2025 | 3.77 | 0.48 | 3.92 | 3.38 | 17.0% | 0 of 92 | 97 |
| Apr to Jun 2025 | 3.50 | 0.35 | 3.70 | 2.99 | 16.0% | 0 of 91 | 99 |
| 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 | 12.4 | 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 | 0.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.5 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.5 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.5 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.1 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.9 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: TREYBURN 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 |
|---|---|---|---|---|
| Cronquist 2015 Family Tr | Indirect ownership interest | Organization | 12/31/2015 | |
| Mangine, John | Indirect ownership interest | Individual | 05/01/2014 | |
| 2059, LLC | 5% or greater mortgage interest | Organization | 05/01/2014 | |
| Health Services Properties LLC | 5% or greater mortgage interest | Organization | 05/01/2014 | |
| Berkadia Commercial Mortgage LLC | 5% or greater security interest | Organization | 05/01/2014 | |
| Chery, Dawn | Managing control - governing body | Individual | 06/08/2017 | |
| Kaar, Susan | Managing control - governing body | Individual | 05/01/2014 | |
| Peck, Robert | Managing control - governing body | Individual | 06/29/2026 | |
| Forvis Mazars LLP | Operational/managerial control | Organization | 01/01/2025 | |
| Southern Healthcare Management LLC | Operational/managerial control | Organization | 10/31/2016 | |
| Sovereign Healthcare Disbursements LLC | Operational/managerial control | Organization | 05/01/2014 | |
| Cronquist, Royce | Operational/managerial control | Individual | 02/01/2018 | |
| Melton, Donald | Operational/managerial control | Individual | 10/31/2016 | |
| Notermann, William | Operational/managerial control | Individual | 06/15/2023 | |
| O Brien, Patrick | Operational/managerial control | Individual | 08/18/2019 | |
| Salter, Jon | Operational/managerial control | Individual | 08/21/2025 | |
| Notermann, Brenda | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 05/27/2025 | |
| 2059, LLC | Adp of the SNF | Organization | 05/01/2014 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 07/23/2025 | |
| Health Services Properties LLC | Adp of the SNF | Organization | 07/23/2025 | |
| Sovereign Healthcare Disbursements LLC | Adp of the SNF | Organization | 07/23/2025 | |
| Chery, Dawn | Adp of the SNF | Individual | 06/08/2017 | |
| Cronquist, Royce | Adp of the SNF | Individual | 02/01/2018 | |
| Kaar, Susan | Adp of the SNF | Individual | 05/01/2014 | |
| Kelly, Michelle | Adp of the SNF | Individual | 09/18/2018 | |
| Mangine, John | Adp of the SNF | Individual | 05/01/2014 | |
| Melton, Donald | Adp of the SNF | Individual | 10/31/2016 | |
| Notermann, William | Adp of the SNF | Individual | 06/15/2023 | |
| O Brien, Patrick | Adp of the SNF | Individual | 08/18/2019 | |
| Peck, Robert | Adp of the SNF | Individual | 06/29/2026 | |
| Salter, Jon | Adp of the SNF | Individual | 08/21/2025 |
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 30, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- 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 30, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 19, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on February 6, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Accordius Health at Rose Manor LLC Durham, 4 mi · 2 of 5 stars · 38 citations
- Carver Living Center Durham, 4.2 mi · 1 of 5 stars · 44 citations
- Croasdaile Village Durham, 5.8 mi · 4 of 5 stars · 6 citations
- Pettigrew Rehabilitation Center Durham, 7 mi · 4 of 5 stars · 15 citations
- Hillcrest Convalescent Center Durham, 7 mi · 5 of 5 stars · 0 citations
- University Health and Rehabilitation Center Durham, 7.4 mi · 1 of 5 stars · 37 citations
- Pruitthealth-Durham Durham, 8 mi · 1 of 5 stars · 49 citations
- The Forest at Duke Inc Durham, 9.6 mi · 4 of 5 stars · 1 citation
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 Treyburn Rehabilitation Center's Medicare star rating?
- CMS rates Treyburn Rehabilitation Center 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Treyburn Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on June 30, 2026. The North Carolina average is 4.7.
- Has Treyburn Rehabilitation Center been fined?
- Yes. CMS lists 1 fine totaling $124,534 in the last three years.
- Does Treyburn 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 Treyburn Rehabilitation Center?
- CMS lists 31 owners and managers, and links the home to Sovereign Healthcare Holdings. Legal business name: TREYBURN 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.