Treyburn Rehabilitation Center
2059 Torredge Road, Durham, NC 27712 · Durham County · 132 certified beds · avg 100 residents/day · certified since May 16, 1994
Part of chain: SOVEREIGN HEALTHCARE HOLDINGS (43 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 19, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 8, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 19, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 8, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 19, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (16)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 30, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jun 19, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 19, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 19, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Aug 11, 2023 | E · Potential for harm, repeated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Aug 11, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 10 | 3 | J ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $124,534.
| Date | Type | Amount / length |
|---|---|---|
| Jun 19, 2024 | Fine | $124,534 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.99 | 4.01 | 3.95 | top 32% in North Carolina; top 40% in the U.S. |
| Registered Nurse hours | 0.50 | 0.64 | 0.69 | bottom 46% in North Carolina; bottom 38% in the U.S. |
| Weekend total nurse staffing | 3.73 | 3.56 | 3.50 | top 26% in North Carolina; top 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.41 | 0.48 | top 49% in North Carolina; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 69.2 | 49.0 | 45.8 | bottom 10% in North Carolina; bottom 6% in the U.S. |
| RN turnover (%) | 83.3 | 45.7 | 42.9 | bottom 4% in North Carolina; bottom 4% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.66, RN 0.46, weekend 3.43. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cronquist 2015 Family Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2015 |
| Mangine, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2014 |
| 2059, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2014 |
| 2059, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Berkadia Commercial Mortgage LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2014 |
| Chery, Dawn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/08/2017 |
| Chery, Dawn | Individual | ADP of the SNF | NOT APPLICABLE | 06/08/2017 |
| Cronquist, Royce | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2018 |
| Cronquist, Royce | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2018 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 07/23/2025 |
| Health Services Properties LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/01/2014 |
| Health Services Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/23/2025 |
| Kaar, Susan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2014 |
| Kaar, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Kelly, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 09/18/2018 |
| Kerley, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2021 |
| Kerley, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2021 |
| Mangine, John | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Melton, Donald | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/31/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Accordius Health at Rose Manor LLC | 4.0 mi | Durham, NC | ★★☆☆☆ | 2/5 | |
| Carver Living Center | 4.2 mi | Durham, NC | ★☆☆☆☆ | 1/5 | |
| Croasdaile Village | 5.8 mi | Durham, NC | ★★★★☆ | 4/5 | |
| Hillcrest Convalescent Center | 7.0 mi | Durham, NC | ★★★★★ | 5/5 | |
| Pettigrew Rehabilitation Center | 7.0 mi | Durham, NC | ★★★★☆ | 3/5 | |
| University Health and Rehabilitation Center | 7.4 mi | Durham, NC | ★☆☆☆☆ | 1/5 | |
| Pruitthealth-Durham | 8.0 mi | Durham, NC | ★☆☆☆☆ | 1/5 | |
| The Forest at Duke INC | 9.7 mi | Durham, NC | ★★★★☆ | 5/5 | |
| Pruitthealth-Carolina Point | 10.3 mi | Durham, NC | ★☆☆☆☆ | 2/5 | |
| Peak Resources - Brookshire, INC | 11.8 mi | Hillsborough, NC | ★★★★☆ | 4/5 | |
| Southpoint Rehabilitation and Healthcare Center | 13.0 mi | Durham, NC | ★☆☆☆☆ | 1/5 | abuse |
| Parkview Health and Rehabilitation Center | 13.3 mi | Chapel Hill, NC | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345458.