University Health and Rehabilitation Center, Durham

CCN 345070 · DURHAM REHAB OPERATIONS LLC · For profit - Limited Liability company · LIFEWORKS REHAB chain · 126 certified beds · Durham · NC


University Health and Rehabilitation Center, Durham is a 126-bed nursing home in Durham, North Carolina. CMS has certified it for Medicare and Medicaid since 1973-09-01. It averages 103.7 residents a day.

What harm was found in the violations cited at University Health and Rehabilitation Center, Durham?

CMS lists 37 health-inspection deficiencies for University Health and Rehabilitation Center, Durham, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-04-16.

Survey dateTagDeficiencySeverity
2026-04-16F0761, F0812, F0925Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E
2026-04-16F0561, F0584, F0679, F0684, F0686Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-01-16F0761Ensure 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.E
2025-01-16F0558, F0641, F0695Reasonably accommodate the needs and preferences of each resident. / Ensure each resident receives an accurate assessment. / Provide safe and appropriate respiratory care for a resident when needed.D
2024-11-05F0580, F0684Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.J
2024-11-05F0730, F0745, F0812, F0921Observe each nurse aide's job performance and give regular training. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2024-11-05F0583, F0761, F0842Keep residents' personal and medical records private and confidential. / Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-07-31F0755, F0760Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.D
2024-05-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-05-09F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D
2024-03-06F0600, F0867Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.G
2024-03-06F0578, F0609, F0689Honor 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2023-09-14F0727, F0812, F0867Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2023-09-14F0553, F0578, F0761Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / Ensure 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.D
2023-09-14F0732Post nurse staffing information every day.B

Why was University Health and Rehabilitation Center, Durham fined 3 times?

DateTypeAmount
2024-11-05Fine$86,473
2024-05-09Fine$10,033
2024-03-06Fine$33,248

How is University Health and Rehabilitation Center, Durham staffed relative to the NC average?

MeasureThis facilityNC average
Total nurse staffing hours per resident per day3.314903.83430
Total nursing staff turnover (%)62.249.0
Average number of residents per day103.786.9

Who owns University Health and Rehabilitation Center, Durham, and what chain is it in?

University Health and Rehabilitation Center, Durham is registered with CMS as For profit - Limited Liability company, operates under the legal business name DURHAM REHAB OPERATIONS LLC and belongs to the LIFEWORKS REHAB chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTLBS CAPITAL HOLDINGS LLC, NC ROYAL HEALTHCARE LLC, BORNSTEIN, YISROEL, HIRSCH, NISSONsince 01/01/2020
CORPORATE OFFICERBORNSTEIN, YISROEL, HIRSCH, NISSONsince 09/21/2016
OPERATIONAL/MANAGERIAL CONTROLMCNEILL, STACEYsince 04/28/2025
ADP OF THE SNFLBS CAPITAL HOLDINGS LLC, NC ROYAL HEALTHCARE LLC, BORNSTEIN, YISROEL, MCNEILL, STACEYsince 01/01/2020

Were you or a family member harmed at University Health and Rehabilitation Center, Durham?