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

Sunnybrook Rehabilitation Center

Raleigh, NC · 95 certified beds · Last Life Safety survey February 20, 2025

CMS Certification Number 345077 · first certified September 1973

Ownership

Operated by SOVEREIGN HEALTHCARE HOLDINGS · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within NC

25 citations — more than 95% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was February 2025. 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

Get an email about Sunnybrook Rehabilitation Center

One email when it happens. No account; stop it any time with one click.

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.

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 facility25NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
72022-09102024-0182025-02
Citations at each Life Safety survey
Survey dateCitations
September 15, 20227
January 11, 202410
February 20, 20258

Most-cited tags

Most-cited tags at this facility
K-09233K-03532K-02112K-03212K-05212K-03522K-09182K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.32025-02-20
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-02-20
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-01-11
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-02-20
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-01-11
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.22025-02-20
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-02-20
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-09-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Egress Deficiencies 3
  • Services Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies7
Egress Deficiencies3
Services Deficiencies3
Miscellaneous Deficiencies1
Construction Deficiencies1

Every citation on file

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

February 20, 2025 — 8 citations

Citations issued on February 20, 2025
TagWhat the surveyor checksStatus
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 (May 16, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 16, 2025)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (May 16, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 16, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 16, 2025)
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 (May 16, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 16, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 16, 2025)

January 11, 2024 — 10 citations

Citations issued on January 11, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 8, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 8, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (March 8, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 8, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 8, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 8, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 8, 2024)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (March 8, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 8, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 8, 2024)

September 15, 2022 — 7 citations

Citations issued on September 15, 2022
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (December 16, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 16, 2022)
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 (December 16, 2022)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (December 16, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 16, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 16, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 16, 2022)

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