Starfile

Starfile / North Carolina

Treyburn Rehabilitation Center

2059 Torredge Road, Durham, NC 27712 · CCN 345458

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
132
Avg residents/day
96.8
Phone
9194774474

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
12025-03-2005.69.5-5.6 better
22024-02-29117.29.8+3.8 worse
32023-03-30157.49.3+7.6 worse

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.7769.8%
RN staffing (reported)0.4885.7%
Total nurse staffing (adjusted)3.95

Fines & penalties

Total fines
$124,534
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
SOVEREIGN HEALTHCARE HOLDINGS
Facilities in chain
43
Chain avg overall
3.50 / 5

Inspection citations (26)2 immediate jeopardy1 actual harm

  1. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-06 · Health · corrected 2024-11-29

    Potential for more than minimal harm

  2. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-19 · Health · corrected 2024-07-08

    Immediate jeopardy

  3. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-06-19 · Health · corrected 2024-07-08

    Immediate jeopardy

  4. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-19 · Health · corrected 2024-07-08

    Actual harm

  5. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-19 · Health · corrected 2024-07-08

    Potential for more than minimal harm

  6. 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.2024-02-29 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  7. DF0610Respond appropriately to all alleged violations.2024-02-29 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  8. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-29 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-29 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  10. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-29 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  11. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-29 · Health · corrected 2024-03-27

    Potential for more than minimal harm

  12. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-11 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  13. EF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-08-11 · Health · corrected 2023-09-01

    Potential for more than minimal harm

  14. DF0558Reasonably accommodate the needs and preferences of each resident.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  15. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  16. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  17. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-30 · Health · corrected 2023-04-27

    Potential for minimal harm

  18. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  20. DF0692Provide enough food/fluids to maintain a resident's health.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  21. DF0760Ensure that residents are free from significant medication errors.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  22. 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.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  23. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  24. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  25. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

  26. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-30 · Health · corrected 2023-04-27

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SOVEREIGN HEALTHCARE HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2016-10-31
JOHN J NOTERMANN BUSINESS TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST83%2017-11-12
FORVIS MAZARS LLPOrganizationOPERATIONAL/MANAGERIAL CONTROL2025-01-01
SOUTHERN HEALTHCARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2016-10-31
SOVEREIGN HEALTHCARE DISBURSEMENTS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2014-05-01
CRONQUIST, ROYCEIndividualOPERATIONAL/MANAGERIAL CONTROL2018-02-01
MELTON, DONALDIndividualOPERATIONAL/MANAGERIAL CONTROL2016-10-31
NOTERMANN, WILLIAMIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-15
O BRIEN, PATRICKIndividualOPERATIONAL/MANAGERIAL CONTROL2019-08-18
SALTER, JONIndividualOPERATIONAL/MANAGERIAL CONTROL2025-08-21
BERKADIA COMMERCIAL MORTGAGE LLCOrganization5% OR GREATER SECURITY INTEREST2014-05-01
2059, LLCOrganization5% OR GREATER MORTGAGE INTEREST2014-05-01
HEALTH SERVICES PROPERTIES LLCOrganization5% OR GREATER MORTGAGE INTEREST2014-05-01

Other facilities in Durham

NameOverallBeds
Hillcrest Convalescent Center★★★★★86
Croasdaile Village★★★★★102
The Forest At Duke Inc★★★★☆4
Pruitthealth-Durham★★☆☆☆125
Durham Nursing & Rehabilitation Center★★☆☆☆126

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