Elder Care Record

North Carolina › Durham County › Durham

Treyburn Rehabilitation Center

2059 Torredge Road, Durham, NC 27712

CCN 345458 · For-profit, limited liability company · 132 certified beds · chain Sovereign Healthcare Holdings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Treyburn Rehabilitation Center, in Durham, North Carolina, is certified for 132 beds under for-profit, limited liability company ownership and belongs to the Sovereign Healthcare Holdings chain.

CMS gives it 3 of 5 stars overall, equal to the North Carolina median; the health inspection rating is 2, staffing 2 and quality measures 5.

Inspectors recorded 16 health deficiencies across the three most recent survey cycles (3, 1, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 12.1 per 100 beds, fewer than the state median of 15.6.

CMS lists 1 penalty in the period covered: fines totalling $125K.

Reported nurse staffing is 3.7 hours per resident per day (0.5 RN), close to the North Carolina median of 3.5; nursing staff turnover is 69.2%.

16health deficiencies, 3 survey cycles3 at actual harm or worse
$125Kfines listed by CMS1 penalty in period
3.7nurse hours per resident per daystate median 3.5
76%occupancy (residents ÷ beds)100 residents a day

Compared with county, state and nation

MeasureThis facilityDurham Co. medianNorth Carolina medianUS average
Overall star rating3333.0
Health citations, 3 cycles16161628.7
Citations per 100 beds12.119.015.626.8
Total nurse hours per resident day3.73.73.53.9
RN hours per resident day0.50.50.50.7
Nursing staff turnover69.2%57.8%48.6%45.8%
Fines listed$124,534$25,275$8,512—

County and state figures are medians across facilities (13 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 21
Cycle 312

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Jun 2026, 20 Mar 2025.

Severity mix: J ×2 G ×1 D ×10 E ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
30 Jun 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey27 Jul 2026
30 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Jul 2026
30 Jun 2026F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey27 Jul 2026
6 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation29 Nov 2024
19 Jun 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation8 Jul 2024
19 Jun 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation8 Jul 2024
19 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation8 Jul 2024
19 Jun 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation8 Jul 2024
29 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation27 Mar 2024
29 Feb 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint investigation27 Mar 2024
29 Feb 2024F0578Honor 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.DStandard survey27 Mar 2024
29 Feb 2024F0610Respond appropriately to all alleged violations.DComplaint investigation27 Mar 2024
29 Feb 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey27 Mar 2024
29 Feb 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey27 Mar 2024
11 Aug 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EComplaint investigation1 Sep 2023
11 Aug 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation1 Sep 2023

Penalties

DateTypeAmountDetail
19 Jun 2024Fine$124,534

Staffing

Total nursing3.66 h
Nurse aides2.15 h
LPN1.05 h
RN0.46 h
Weekend total3.43 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 69.2%, RNs 83.3%; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.4%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.9%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.5%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.5%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.5%13.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Treyburn Rehabilitation Center Llc. Chain: Sovereign Healthcare Holdings (43 facilities).

OrganisationRole in the CMS recordInterestSince
2059, LLC5% or greater mortgage interestNOT APPLICABLE05/01/2014
Health Services Properties LLC5% or greater mortgage interestNOT APPLICABLE05/01/2014
Berkadia Commercial Mortgage LLC5% or greater security interestNOT APPLICABLE05/01/2014
Forvis Mazars LLPOperational/managerial controlNOT APPLICABLE01/01/2025
Southern Healthcare Management LLCOperational/managerial controlNOT APPLICABLE10/31/2016
Sovereign Healthcare Disbursements LLCOperational/managerial controlNOT APPLICABLE05/01/2014
2059, LLCAdp of the snfNOT APPLICABLE05/01/2014
Forvis Mazars LLPAdp of the snfNOT APPLICABLE07/23/2025
Health Services Properties LLCAdp of the snfNOT APPLICABLE07/23/2025
Sovereign Healthcare Disbursements LLCAdp of the snfNOT APPLICABLE07/23/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Durham County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Hillcrest Convalescent CenterDurham8655500.0——
Parkview Health and Rehabilitation CenterChapel Hill10855343.7—28 Apr 2023
Croasdaile VillageDurham10244465.9$25K8 Apr 2026
Pettigrew Rehabilitation CenterDurham964321515.6—11 Jun 2026
The Cedars of Chapel HillChapel Hill1245—325.0—4 Jun 2024
The Forest At Duke IncDurham4451125.0—19 Nov 2024
Accordius Health At Rose Manor LLCDurham1112233834.2$17K15 Dec 2025
Carver Living CenterDurham2321124419.0$129K14 May 2026

All 13 facilities in Durham County

Questions and answers

How many deficiencies has Treyburn Rehabilitation Center been cited for?

16 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has Treyburn Rehabilitation Center been fined?

Yes. CMS lists fines totalling $125K in the period covered.

How does staffing at Treyburn Rehabilitation Center compare?

Reported total nurse staffing is 3.7 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates Treyburn Rehabilitation Center?

It is part of the Sovereign Healthcare Holdings chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Forvis Mazars LLP, Southern Healthcare Management LLC and Sovereign Healthcare Disbursements LLC. Individual owners and managers are not listed on this site.

When was Treyburn Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 30 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.