Nursing homes › North Carolina › University Health and Rehabilitation Center
411 S Lasalle Street, Durham, NC 27705 · 9193835521 · 126 certified beds
Per CMS filings, this facility is affiliated with Lifeworks Rehab, a group operating 69 facilities in 5 states. Group record: average rating 2.0/5, 10 abuse citation icons, 8 facilities on the Special Focus list, $4,831,787 in federal fines. This facility rates below its group average (2.0/5).
Total nurse staffing: 3.31 (North Carolina median: 3.53). RN hours: 0.51. Weekend total: 2.78. Nursing staff turnover: 62%.
All-time on record: 37 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-16 | 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. | E | Health | corrected 2026-05-14 |
| 2026-04-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-05-14 |
| 2026-04-16 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2026-05-14 |
| 2026-04-16 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | complaint | corrected 2026-05-14 |
| 2026-04-16 | 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. | D | complaint | corrected 2026-05-14 |
| 2026-04-16 | Provide activities to meet all resident's needs. | D | Health | corrected 2026-05-14 |
| 2026-04-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2026-05-14 |
| 2026-04-16 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2026-05-14 |
| 2025-01-16 | 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. | E | Health | corrected 2025-02-02 |
| 2025-01-16 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-02-02 |
| 2025-01-16 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-02-02 |
| 2025-01-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-02-02 |
| 2024-11-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2024-11-22 |
| 2024-11-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2024-11-22 |
| 2024-11-05 | Observe each nurse aide's job performance and give regular training. | E | complaint | corrected 2024-11-22 |
| 2024-11-05 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | complaint | corrected 2024-11-22 |
| 2024-11-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-11-22 |
| 2024-11-05 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2024-11-22 |
| 2024-11-05 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-11-22 |
| 2024-11-05 | 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 | complaint | corrected 2024-11-22 |
| 2024-11-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-11-22 |
| 2024-07-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-08-16 |
| 2024-07-31 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2024-08-16 |
| 2024-05-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-05-23 |
| 2024-05-09 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | complaint | corrected 2024-05-23 |
| 2024-03-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-03-27 |
| 2024-03-06 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | complaint | corrected 2024-03-27 |
| 2024-03-06 | 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. | D | complaint | corrected 2024-03-27 |
| 2024-03-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-03-27 |
| 2024-03-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-03-27 |
| 2023-09-14 | Have 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. | E | Health | corrected 2023-10-05 |
| 2023-09-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-10-05 |
| 2023-09-14 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Health | corrected 2023-10-05 |
| 2023-09-14 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2023-10-05 |
| 2023-09-14 | 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. | D | Health | corrected 2023-10-05 |
| 2023-09-14 | 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 | Health | corrected 2023-10-05 |
| 2023-09-14 | Post nurse staffing information every day. | B | Health | corrected 2023-10-05 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-05 | Fine | $86,473 |
| 2024-05-09 | Fine | $10,033 |
| 2024-03-06 | Fine | $33,248 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LBS CAPITAL HOLDINGS LLC | 5% Or Greater Direct Ownership Interest | Organization | 20% | since 04/03/2022 |
| NC ROYAL HEALTHCARE LLC | 5% Or Greater Direct Ownership Interest | Organization | 50% | since 01/01/2020 |
| BORNSTEIN, YISROEL | 5% Or Greater Direct Ownership Interest | Individual | 20% | since 09/21/2016 |
| HIRSCH, NISSON | 5% Or Greater Direct Ownership Interest | Individual | 10% | since 09/21/2016 |
| BORNSTEIN, YISROEL | Corporate Officer | Individual | NOT APPLICABLE | since 09/21/2016 |
| HIRSCH, NISSON | Corporate Officer | Individual | NOT APPLICABLE | since 09/21/2016 |
| MCNEILL, STACEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/28/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345070. Corrections: data@carerecords.org.