University Health and Rehabilitation Center

Nursing Home · Durham, NC

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number345070

Contact & location

411 S Lasalle Street
Durham, NC 27705
Durham County
Phone
(919) 383-5521
ZIP code
27705 – all care providers

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Facility details

Certified beds
126
Residents per day
103.7 (82% occupied)
Ownership
For profit - Limited Liability company
Legal name
Durham Rehab Operations LLC
Chain
Lifeworks Rehab (64 facilities, avg 2.1★)
Medicare certified since
September 1, 1973
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 1/5
State avg 2.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.31 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.51 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.87 (state 0.89 · U.S. 0.86)
Nurse aides
1.94 (state 2.34 · U.S. 2.32)
Weekend total
2.78 (state 3.40 · U.S. 3.42)
Nursing staff turnover
62.2 (state 49.0 · U.S. 45.8)%
RN turnover
73.3 (state 45.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
April 16, 2026
Health deficiencies (last cycle)
8.0 (state 4.8 · U.S. 9.3)
From complaints
5
Citations on record (3 years)
37 health · 31 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-16 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0561 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-16 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-14
2026-04-16 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-02-02
2025-01-16 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-02
2025-01-16 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-02
2025-01-16 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0580 · Resident Rights Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-11-22
2024-11-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-11-22
2024-11-05 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-11-05 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 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.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-11-22
2024-11-05 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-16
2024-07-31 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 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.
F0867 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 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.
F0867 · Administration Deficiencies · complaint inspection		 G
Actual harm		 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.
F0578 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-27
2024-03-06 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0867 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 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.
F0553 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-05
2023-09-14 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2023-10-05

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $129,754 in fines.

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

Ownership & management

NameRoleSince
Bornstein, Yisroel (individual)5%+ Direct Ownership Interest · 20%
Hirsch, Nisson (individual)5%+ Direct Ownership Interest · 10%
LBS Capital Holdings LLC (organization)5%+ Direct Ownership Interest · 20%
NC Royal Healthcare LLC (organization)5%+ Direct Ownership Interest · 50%
Bornstein, Yisroel (individual)Administrator · NOT APPLICABLE
LBS Capital Holdings LLC (organization)Administrator · NOT APPLICABLE
McNeill, Stacey (individual)Administrator · NOT APPLICABLE
NC Royal Healthcare LLC (organization)Administrator · NOT APPLICABLE
Bornstein, Yisroel (individual)Corporate Officer · NOT APPLICABLE
Hirsch, Nisson (individual)Corporate Officer · NOT APPLICABLE
McNeill, Stacey (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of University Health and Rehabilitation Center?

University Health and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does University Health and Rehabilitation Center have?

It has 126 certified beds and cares for about 104 residents per day.

Has University Health and Rehabilitation Center been fined?

Yes. CMS lists 3 penalties totaling $129,754 in the last three years.

Who owns University Health and Rehabilitation Center?

It is part of Lifeworks Rehab and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of University Health and Rehabilitation Center?

(919) 383-5521. The facility is located at 411 S Lasalle Street, Durham, NC 27705.

Other nursing homes in Durham

Compare all nursing homes in Durham, NC →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.