Treyburn Rehabilitation Center
Durham, Durham County, North Carolina · CCN 345458 · For-profit (LLC) · part of Sovereign Healthcare Holdings (43 facilities, chain average 3.7 stars)
CMS rates Treyburn Rehabilitation Center 3 of 5 overall as of August 2026. 132 certified beds, 100 residents a day on average. 16 citations on record from the current inspection cycles, 2 at immediate jeopardy; 1 fine totalling $124,534.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 3.66388 hours per resident per day |
|---|---|
| Registered nurses | 0.46372 hours per resident per day |
| Weekend total | 3.42872 hours per resident per day |
| Nursing staff turnover | 69.2% (registered nurses 83.3%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-30 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-27 |
| 2026-06-30 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-27 |
| 2026-06-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has plan of correction 2026-07-27 |
| 2025-02-06 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-11-29 |
| 2024-06-19 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-07-08 |
| 2024-06-19 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-07-08 |
| 2024-06-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-07-08 |
| 2024-06-19 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-08 |
| 2024-02-29 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-27 |
| 2023-08-11 complaint survey |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-01 |
| 2023-08-11 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-19 | Fine | $124,534 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| 2059, LLC Organization | 5% or greater mortgage interest | — | 2014-05-01 |
| Health Services Properties LLC Organization | 5% or greater mortgage interest | — | 2014-05-01 |
| Berkadia Commercial Mortgage LLC Organization | 5% or greater security interest | — | 2014-05-01 |
| 2059, LLC Organization | adp of the snf | — | 2014-05-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2025-07-23 |
| Health Services Properties LLC Organization | adp of the snf | — | 2025-07-23 |
| Sovereign Healthcare Disbursements LLC Organization | adp of the snf | — | 2025-07-23 |
| Cronquist 2015 Family Tr Organization | indirect ownership interest | — | 2015-12-31 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2025-01-01 |
| Southern Healthcare Management LLC Organization | operational/managerial control | — | 2016-10-31 |
| Sovereign Healthcare Disbursements LLC Organization | operational/managerial control | — | 2014-05-01 |
| Chery, Dawn Individual | adp of the snf | — | 2017-06-08 |
| Cronquist, Royce Individual | adp of the snf | — | 2018-02-01 |
| Kaar, Susan Individual | adp of the snf | — | 2014-05-01 |
| Kelly, Michelle Individual | adp of the snf | — | 2018-09-18 |
| Kerley, Steven Individual | adp of the snf | — | 2021-09-01 |
| Mangine, John Individual | adp of the snf | — | 2014-05-01 |
| Melton, Donald Individual | adp of the snf | — | 2016-10-31 |
| Notermann, William Individual | adp of the snf | — | 2023-06-15 |
| O Brien, Patrick Individual | adp of the snf | — | 2019-08-18 |
| Salter, Jon Individual | adp of the snf | — | 2025-08-21 |
| Mangine, John Individual | indirect ownership interest | — | 2014-05-01 |
| Notermann, Brenda Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-05-27 |
| Chery, Dawn Individual | managing control - governing body | — | 2017-06-08 |
| Kaar, Susan Individual | managing control - governing body | — | 2014-05-01 |
| Kerley, Steven Individual | managing control - governing body | — | 2021-09-01 |
| Cronquist, Royce Individual | operational/managerial control | — | 2018-02-01 |
| Melton, Donald Individual | operational/managerial control | — | 2016-10-31 |
| Notermann, William Individual | operational/managerial control | — | 2023-06-15 |
| O Brien, Patrick Individual | operational/managerial control | — | 2019-08-18 |
| Salter, Jon Individual | operational/managerial control | — | 2025-08-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Treyburn Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Durham County.