Starfile

Starfile / North Carolina

Durham Nursing & Rehabilitation Center

411 S Lasalle Street, Durham, NC 27705 · CCN 345070

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
126
Avg residents/day
79.8
Phone
9193835521

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12025-01-1645.69.5-1.6 better
22023-09-14257.29.8+17.8 worse
32022-08-18107.49.3+2.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning1
Resident rights1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4347.8%
RN staffing (reported)0.4566.7%
Total nurse staffing (adjusted)3.65

Fines & penalties

Total fines
$129,754
Number of fines
3
Number of penalties
3
Payment denials
0

Chain

Chain
MAXIMUS HEALTHCARE GROUP
Facilities in chain
11
Chain avg overall
3.30 / 5

Inspection citations (39)2 immediate jeopardy4 actual harm

  1. DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-16 · Health · corrected 2025-02-02

    Potential for more than minimal harm

  2. DF0641Ensure each resident receives an accurate assessment.2025-01-16 · Health · corrected 2025-02-02

    Potential for more than minimal harm

  3. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-16 · Health · corrected 2025-02-02

    Potential for more than minimal harm

  4. EF0761Ensure 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.2025-01-16 · Health · corrected 2025-02-02

    Potential for more than minimal harm

  5. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-05 · Health · corrected 2024-11-22

    Immediate jeopardy

  6. DF0583Keep residents' personal and medical records private and confidential.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  7. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-05 · Health · corrected 2024-11-22

    Immediate jeopardy

  8. EF0730Observe each nurse aide's job performance and give regular training.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  9. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  10. DF0761Ensure 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.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  12. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  13. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-11-05 · Health · corrected 2024-11-22

    Potential for more than minimal harm

  14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-31 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  15. DF0760Ensure that residents are free from significant medication errors.2024-07-31 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  16. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-09 · Health · corrected 2024-05-23

    Actual harm

  17. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-09 · Health · corrected 2024-05-23

    Potential for more than minimal harm

  18. DF0578Honor 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.2024-03-06 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  19. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-06 · Health · corrected 2024-03-27

    Actual harm

  20. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-06 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-06 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  22. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-06 · Health · corrected 2024-03-27

    Actual harm

  23. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-09-14 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  24. DF0578Honor 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.2023-09-14 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  25. EF0727Have 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.2023-09-14 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  26. BF0732Post nurse staffing information every day.2023-09-14 · Health · corrected 2023-10-05

    Potential for minimal harm

  27. DF0761Ensure 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.2023-09-14 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-14 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  29. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-09-14 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  30. GF0602Protect each resident from the wrongful use of the resident's belongings or money.2023-04-13 · Health · corrected 2023-04-14

    Actual harm

  31. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-13 · Health · corrected 2023-04-14

    Potential for more than minimal harm

  32. EF0610Respond appropriately to all alleged violations.2023-04-13 · Health · corrected 2023-04-14

    Potential for more than minimal harm

  33. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-04-13 · Health · corrected 2023-04-14

    Potential for more than minimal harm

  34. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-03-16 · Health · corrected 2023-04-14

    Potential for more than minimal harm

  35. DF0578Honor 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.2022-08-18 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  36. DF0583Keep residents' personal and medical records private and confidential.2022-08-18 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  37. EF0584Honor 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.2022-08-18 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  38. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-08-18 · Health · corrected 2022-09-13

    Potential for more than minimal harm

  39. EF0727Have 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.2022-08-18 · Health · corrected 2022-09-13

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
NC ROYAL HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST50%2020-01-01
LBS CAPITAL HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST20%2022-04-03
BORNSTEIN, YISROELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST20%2016-09-21
HIRSCH, NISSONIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%2016-09-21
MCNEILL, STACEYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-04-28
BORNSTEIN, YISROELIndividualCORPORATE OFFICER2016-09-21
HIRSCH, NISSONIndividualCORPORATE OFFICER2016-09-21

Other facilities in Durham

NameOverallBeds
Hillcrest Convalescent Center★★★★★86
Croasdaile Village★★★★★102
The Forest At Duke Inc★★★★☆4
Treyburn Rehabilitation Center★★☆☆☆132
Accordius Health at Rose Manor LLC★★☆☆☆111

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.