University Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 411 S Lasalle Street, Durham, NC 27705
- CCN
- 345070
- Ownership type
- For-profit, limited liability company
- Certified beds
- 126
- Chain
- Lifeworks Rehab
- Residents per day
- 104
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives University Health and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 16 Apr 2026. The latest survey cycle has 8 health citations. The median for nursing homes in North Carolina is 3. CMS lists 3 fines with a total of $129,754 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Durham County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 13 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 16 Apr 2026 | 8 | 3 |
| Cycle 2 | 16 Jan 2025 | 13 | 5 |
| Cycle 3 | No date | 16 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 8 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 14 May 2026 |
| 16 Apr 2026 | F0584 | 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. | D | Complaint investigation | 14 May 2026 |
| 16 Apr 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 14 May 2026 |
| 16 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 May 2026 |
| 16 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 14 May 2026 |
| 16 Apr 2026 | F0761 | 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. | E | Standard survey | 14 May 2026 |
| 16 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 May 2026 |
| 16 Apr 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 14 May 2026 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jan 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 2 Feb 2025 |
| 16 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Feb 2025 |
| 16 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 2 Feb 2025 |
| 16 Jan 2025 | F0761 | 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. | E | Standard survey | 2 Feb 2025 |
| 5 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0761 | 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 | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Nov 2024 |
| 5 Nov 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 22 Nov 2024 |
Survey cycle 3: 16 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Aug 2024 |
| 31 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 16 Aug 2024 |
| 9 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 May 2024 |
| 9 May 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 23 May 2024 |
| 6 Mar 2024 | F0578 | 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. | D | Complaint investigation | 27 Mar 2024 |
| 6 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 27 Mar 2024 |
| 6 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Mar 2024 |
| 6 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Mar 2024 |
| 6 Mar 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Complaint investigation | 27 Mar 2024 |
| 14 Sep 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 5 Oct 2023 |
| 14 Sep 2023 | F0578 | 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. | D | Standard survey | 5 Oct 2023 |
| 14 Sep 2023 | F0727 | 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. | E | Standard survey | 5 Oct 2023 |
| 14 Sep 2023 | F0732 | Post nurse staffing information every day. | B | Standard survey | 5 Oct 2023 |
| 14 Sep 2023 | F0761 | 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 | Standard survey | 5 Oct 2023 |
| 14 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Oct 2023 |
| 14 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 5 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 5 Nov 2024 | Fine | $86,473 | |
| 9 May 2024 | Fine | $10,033 | |
| 6 Mar 2024 | Fine | $33,248 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.31 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.51 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.87 | 0.89 | |
| Nurse aides | 1.94 | 2.34 | |
| All nurse staff, weekends | 2.78 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 62.2%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 73.3%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.1% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.6% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.5% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.8% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Durham Rehab Operations LLC
- Chain
- Lifeworks Rehab (64 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LBS Capital Holdings LLC | 5% or greater direct ownership interest | 20% | 3 Apr 2022 |
| NC Royal Healthcare LLC | 5% or greater direct ownership interest | 50% | 1 Jan 2020 |
| LBS Capital Holdings LLC | Adp of the snf | 3 Apr 2022 | |
| NC Royal Healthcare LLC | Adp of the snf | 1 Jan 2020 |
The site shows organisations only. It does not show the names of persons.
Other homes in Durham County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Pruitthealth-Durham | Durham | 1 of 5 | 32 | $34,632 | 12 Jun 2026 | |
| Pettigrew Rehabilitation Center | Durham | 4 of 5 | 3 | $0 | 11 Jun 2026 | |
| Hillcrest Convalescent Center | Durham | 5 of 5 | 0 | $0 | 29 May 2026 | |
| Croasdaile Village | Durham | 4 of 5 | 3 | $25,275 | 14 Aug 2025 | |
| The Forest at Duke Inc | Durham | 4 of 5 | 1 | $0 | 19 Nov 2024 | |
| Pruitthealth-Carolina Point | Durham | 1 of 5 | 3 | $52,901 | 11 Feb 2026 | |
| Accordius Health at Rose Manor LLC | Durham | 2 of 5 | 12 | $16,801 | 8 May 2025 | |
| Carver Living Center | Durham | 1 of 5 | 4 | $128,554 | 14 May 2026 | |
| Parkview Health and Rehabilitation Center | Chapel Hill | 5 of 5 | 0 | $0 | 23 Jan 2026 | |
| Southpoint Rehabilitation and Healthcare Center | Durham | 1 of 5 | 8 | $48,523 | 10 Apr 2025 | |
| Treyburn Rehabilitation Center | Durham | 3 of 5 | 3 | $124,534 | 30 Jun 2026 | |
| The Cedars of Chapel Hill | Chapel Hill | 4 of 5 | 0 | $0 | 30 Apr 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of University Health and Rehabilitation Center (CCN 345070). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/university-health-and-rehabilitation-center-durham-nc-345070/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was University Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 16 Apr 2026. It was a standard survey and a complaint investigation. It gave 8 citations. The standard survey before the last one was on 16 Jan 2025.
- Who operates University Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Lifeworks Rehab. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is University Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.