About Treyburn Rehabilitation Center
Treyburn Rehabilitation Center, located in Durham, NC, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Treyburn Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 3 Stars
- Nursing Hours 3.63 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the SOVEREIGN HEALTHCARE HOLDINGS network. This chain operates 43 facilities.
Chain Performance Overview
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Treyburn Rehabilitation Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 3 |
|
| Health Inspection | 2 |
|
| Quality Measures | 5 |
|
| Staffing | 2 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Weighted Average | 49 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 20.0% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 8.2% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.3% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.5% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 9.2% |
| Percentage of long-stay residents who lose too much weight (QM404) | 7.7% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.6% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 5.9% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 4.2% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 95.2% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 86.5% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 1.2% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 10.1% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 17.8% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 96.7% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 86.4% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.0% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 30.1% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 24.1% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 2 complaints
- 2024: 8 complaints
- Total: 10 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Nov 29, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jul 08, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| Jul 08, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Jul 08, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Jul 08, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Mar 27, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. |
| Mar 27, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Mar 27, 2024 | Respond appropriately to all alleged violations. |
| Sep 01, 2023 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. |
| Sep 01, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
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Owner & Operator Information
Business Entity
TREYBURN REHABILITATION CENTER LLC
Ownership Structure
Management & Direction
- 2059 LLC ADP OF THE SNF
- DAWN CHERY ADP OF THE SNF
- DAWN CHERY MANAGING CONTROL - GOVERNING BODY
- ROYCE CRONQUIST ADP OF THE SNF
- ROYCE CRONQUIST OPERATIONAL/MANAGERIAL CONTROL
- FORVIS MAZARS LLP ADP OF THE SNF
- FORVIS MAZARS LLP OPERATIONAL/MANAGERIAL CONTROL
- HEALTH SERVICES PROPERTIES LLC ADP OF THE SNF
- SUSAN KAAR ADP OF THE SNF
- SUSAN KAAR MANAGING CONTROL - GOVERNING BODY
- MICHELLE KELLY ADP OF THE SNF
- STEVEN KERLEY ADP OF THE SNF
- STEVEN KERLEY MANAGING CONTROL - GOVERNING BODY
- JOHN MANGINE ADP OF THE SNF
- DONALD MELTON ADP OF THE SNF
- DONALD MELTON OPERATIONAL/MANAGERIAL CONTROL
- BRENDA NOTERMANN INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- WILLIAM NOTERMANN ADP OF THE SNF
- WILLIAM NOTERMANN OPERATIONAL/MANAGERIAL CONTROL
- PATRICK O BRIEN OPERATIONAL/MANAGERIAL CONTROL
- PATRICK O BRIEN ADP OF THE SNF
- JON SALTER ADP OF THE SNF
- JON SALTER OPERATIONAL/MANAGERIAL CONTROL
- SOUTHERN HEALTHCARE MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL
- SOVEREIGN HEALTHCARE DISBURSEMENTS LLC ADP OF THE SNF
- SOVEREIGN HEALTHCARE DISBURSEMENTS LLC OPERATIONAL/MANAGERIAL CONTROL
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Parkview Health and Rehabilitation Center | N/A | 5 |
| Hillside Nursing Center of Wake Forest | N/A | 5 |
| The Forest at Duke Inc | N/A | 4 |
| Hillcrest Convalescent Center | N/A | 5 |
| The Cedars of Chapel Hill | N/A | 4 |
| Croasdaile Village | N/A | 5 |
| Carol Woods | N/A | 5 |
| Brantwood Nh and Retirement Center | N/A | 4 |
| Hillcrest Raleigh at Crabtree Valley | N/A | 3 |
| Compass Healthcare and Rehab Hawfields, Inc. | N/A | 3 |
Related Analysis
Best Nursing Homes in Durham, NC
Compare Treyburn Rehabilitation Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Treyburn Rehabilitation Center directly at 9194774474. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.