| Treyburn Rehabilitation Center | |
| 2059 Torredge Road, Durham, North Carolina 27712 | |
| (919) 477-4474 | |
| Name | Treyburn Rehabilitation Center |
|---|---|
| Location | 2059 Torredge Road, Durham, North Carolina |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 132 |
| Occupancy Rate | 75.91% |
| Medicare ID (CCN) | 345458 |
| Legal Business Name | Treyburn Rehabilitation Center LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Sovereign Healthcare Holdings (43 nursing homes) |
| Chain Average Overall Rating | 3.7 out of 5 |
| NPI Number | 1386187813 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Treyburn Rehabilitation Center, LLC |
| Doing Business As | Treyburn Rehabilitation Center |
| Address | 2059 Torredge Rd, Durham, NC 27712 |
| Phone Number | 919-477-4474 |
| NPI Number | 1154786788 |
| Match | Possible same name, address or phone number |
| Address | 2059 Torredge Rd, Durham, NC 27712 |
| Phone Number | 919-477-4474 |
| NPI Number | 1841390010 |
| Match | Possible same name, address or phone number |
| Organization Name | Treyburn Healthcare, Inc |
| Address | 2059 Torredge Rd, Durham, NC 27712 |
| Phone Number | 919-477-4474 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.66 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.05 | 0.86 |
| Nurse aide hours per resident per day | 2.15 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.43 | 3.42 |
| RN hours per resident per day on the weekend | 0.33 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 69.2% | 45.8% |
| Registered nurse turnover | 83.3% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $124,534 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 30, 2026 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Plan of correction |
| Jun 30, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Plan of correction |
| Jun 30, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Plan of correction |
| Feb 6, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jun 19, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jul 8, 2024 |
| Jun 19, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jul 8, 2024 |
| Jun 19, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jul 8, 2024 |
| Jun 19, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jul 8, 2024 |
| Feb 29, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 27, 2024 |
| Feb 29, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 27, 2024 |
| Feb 29, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2024 |
| Feb 29, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Mar 27, 2024 |
| Feb 29, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2024 |
| Feb 29, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 27, 2024 |
| Aug 11, 2023 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Sep 1, 2023 |
| Aug 11, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Sep 1, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.36 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.5 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.31 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.26 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.93 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.47 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.5 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.91 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.53 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.63 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.4 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.51 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.81 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 20.54 | 15.38 |
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