Treyburn Rehabilitation Center
2059 Torredge Road
Durham, NC, 27712
9194774474
CCN: 345458
2
Overall2
Health2
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| SOVEREIGN HEALTHCARE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| JOHN J NOTERMANN BUSINESS TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 83% |
| HEALTH SERVICES PROPERTIES LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| 2059, LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| BERKADIA COMMERCIAL MORTGAGE LLC | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE |
| CRONQUIST, ROYCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| O BRIEN, PATRICK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SALTER, JON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOVEREIGN HEALTHCARE DISBURSEMENTS LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-06-19 | Fine | $125K |
Health Deficiencies (26)
2025-02-06 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-06-19 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2024-02-29 · Health
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F578 · Resident Rights Deficiencies
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.
2023-08-11 · Health
E
F740 · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2023-03-30 · Health
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
F761 · Pharmacy Service Deficiencies
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.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
B
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.77
RN Hrs/Resident/Day0.54
0.48
LPN Hrs/Resident/Day0.81
1.10
CNA Hrs/Resident/Day2.33
2.19
PT Hrs/Resident/Day0.12
0.12
Data as of 2026-03-01