Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

University Health and Rehabilitation Center

Durham, NC · 126 certified beds · Last Life Safety survey April 16, 2026

CMS Certification Number 345070 · first certified September 1973

Ownership

Operated by LIFEWORKS REHAB · For profit - Limited Liability company

  • Ownership changed September 28, 2016 (change of ownership)to DURHAM NURSING AND REHABILITATION CENTER from HEALTHTIQUE DURHAM, LLC
31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
9
Tags cited more than once
Across separate surveys
14
Inspection & testing records
Of the citations on file

Position within NC

31 citations — more than 99% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 13 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 31 Life Safety citations above. The Physical Environment Index

  • F-0584 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.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

This facility31NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
102023-0982025-01132026-04
Citations at each Life Safety survey
Survey dateCitations
September 14, 202310
January 16, 20258
April 16, 202613

Most-cited tags

Most-cited tags at this facility
K-05213K-03213K-03633K-05113K-09183K-09142K-07412K-02222
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32026-04-16
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32026-04-16
K-0363Install corridor and hallway doors that block smoke.32026-04-16
K-0511Have properly installed electrical wiring and gas equipment.32026-04-16
K-0918Have generator or other power source capable of supplying service within 10 seconds.32026-04-16
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.22026-04-16
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22026-04-16
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22026-04-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Services Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Egress Deficiencies 5
  • Other 6
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Services Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Egress Deficiencies5
Miscellaneous Deficiencies4
Construction Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 16, 2026 — 13 citations

Citations issued on April 16, 2026
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has no plan of correction
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has no plan of correction
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has no plan of correction
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has no plan of correction
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has no plan of correction
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has no plan of correction
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has no plan of correction
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has no plan of correction
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has no plan of correction
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has no plan of correction
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has no plan of correction
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has no plan of correction
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has no plan of correction

January 16, 2025 — 8 citations

Citations issued on January 16, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 10, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (March 10, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 10, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 10, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 10, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 10, 2025)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 10, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 10, 2025)

September 14, 2023 — 10 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 6, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (November 6, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (November 6, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 6, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 6, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 6, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 6, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (November 6, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (November 6, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 6, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.