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Pettigrew Rehabilitation Center Inspection Report, Violations & Safety Grade (Durham, North Carolina)

1515 W Pettigrew Street, Durham, North Carolina 27705

Phone: 9192860751

CMS Overall:4/5

Overview & Bed Count

Certified Beds
96
Avg Residents/Day
82.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Durham
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.540.62-0.08
Total Nurse Hours per Resident per Day3.553.87-0.32
CMS Staffing Rating2/52.7/5-
Nursing Staff Turnover61.3%48.7%-

Health Citation History

15 health citations on record

DateCategoryDescriptionSeverity
2026-06-11Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2026-06-11Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-06-11Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2025-03-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-03-07Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2025-03-07Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2025-03-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-03-07Nursing and Physician Services DeficienciesHave 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.D – Moderate Harm Potential
2025-03-07Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential
2024-04-18Quality of Life and Care DeficienciesProvide appropriate foot care.E – Moderate Harm Potential
2024-04-18Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2024-04-18Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2024-04-18Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2024-04-18Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2024-04-18Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2025-03-07Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2025-03-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-04-18Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2024-04-18Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2024-04-18Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2023-02-09Construction DeficienciesUse approved construction type or materials.F – Moderate Harm Potential
2023-02-09Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2023-02-09Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2023-02-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-02-09Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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