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Liberty Commons Nsg and Rehab Ctr of Rowan County

4412 South Main Street, Salisbury, NC 28147 · For profit - Corporation · 90 certified beds · (704) 637-3040 Medicare & Medicaid certified

Call the home — (704) 637-3040 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0565)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0565)
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)
  • about 27% of its spending goes to commonly-owned related companies

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
650 Julian Road · (704) 637-3373 · Call to confirm hours
Pharmacy
820 Klumac Rd · (704) 642-0952 · Call to confirm hours
Grocery
793 Airport Rd · (704) 633-0803 · Call to confirm hours
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 2 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased20.8%15.6%15.4%worse
Long-stay residents who lose too much weight1.3%7.2%5.4%better
Long-stay residents with a catheter left in their bladder1.3%0.7%0.9%worse
Long-stay residents with a urinary tract infection2.1%2.3%2.0%typical
Long-stay residents with depressive symptoms4.0%5.9%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury6.7%3.5%3.3%worse
Long-stay residents whose ability to walk worsened23.9%18.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication39.1%21.3%18.9%worse
Long-stay residents given the seasonal flu vaccine97.3%94.1%95.3%typical
Long-stay residents with pressure ulcers4.3%5.5%4.7%typical
Long-stay residents with worsening bladder/bowel control21.9%20.7%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table4.0%14.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine86.1%78.1%79.4%typical
Short-stay residents rehospitalized after admission37.7%22.9%22.6%worse
Short-stay residents with an outpatient ER visit17.8%12.9%12.0%worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 135 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.9%U.S. median 51.5%
Got home and stayed home
9.5%U.S. median 10.7%
Went back to hospital
56.2%U.S. median 56.6%
Met the expected recovery
0.46U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.22hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 56.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 32 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.46 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.9%CMS range 46.1–63.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 6.7–12.410.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge56.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge53.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.2%CMS range 5.0–14.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.35
RN hours/ resident / day
0.96
LPN hours/ resident / day
1.87
Aide hours/ resident / day
3.17
Total nurse hours/ resident / day
0.14
RN hoursweekends
27.9%
Total nursing turnover
30.0%
RN turnover

How full it usually is: this home is certified for 90 beds and averages 83.5 residents a day — about 93% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.89 hrs/resident/day on weekends vs 3.29 on weekdays — 12% thinner on weekends. RN hours go from 0.43 to 0.14 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2025-11-19)
3
at the previous standard inspection (2024-09-11)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · Fcited before2025-11-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to: label and date leftover food stored for use in 1 of 1 walk-in cooler and 1 of 1 walk-in freezer and discard food showing signs of spoilage or past its use-by date in the walk-in cooler; monitor dish machine temperatures; and maintain a clean kitchen ice machine. These practices had the potential to affect food served to residents. The findings included:a. During an initial observation of the facility's kitchen with the Assistant Dietary Manager on 9/22/2025 at 10:36 AM, the walk-in cooler was noted to have the following concerns: -An opened and unlabeled 5-pound (lb.) bag of fancy shredded cheese.-An opened and unlabeled 5-pound (lb.) bag of romaine lettuce with signs of spoilage (brownish/ blackish in color lettuce leaves with thickened clear fluid).-A bag of diced strawberries with an open date of 9/10/2025 and a discard date of 9/10/2025 available for use.-Three (3) of 7 bell peppers showing signs of spoilage (black/ grayish looking spots, mushy texture with clear liquid). b. During an initial observation of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-19 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, staff and resident interviews, the facility failed to provide access to the call bell, telephone, and water cup to accommodate a visually impaired resident. This resulted in Resident #6 yelling for assistance or asking his roommate to turn on the call bell, missing phone calls, and prevented access to the water cup as he wanted. This was for 1 of 1 resident reviewed for accommodation of needs (Resident #6).The findings included:Resident #6 was readmitted on [DATE] with diagnoses including heart failure, kidney disease, gastro-esophageal reflux disease, dysphagia (trouble swallowing), Barrett's esophagus (inflammation of the esophagus), macular degeneration, legal blindness, and history of falling. The most recent quarterly Minimum Data Set Assessment (MDS) dated [DATE], indicated Resident #6 was cognitively intact. He was dependent with mobility, used a wheelchair, needed extensive assistance with toileting and transferring, and required supervision with set up with eating.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interviews, the facility failed to provide a clean homelike environment when they failed to maintain a sink drain that leaked in 1 of 4 shared bathrooms used only by Resident #50.The findings included:An observation on 9/22/25 at 1:55 PM of the bathroom in Resident #50's room revealed an approximate twelve-inch diameter puddle of clear liquid substance that resembled water on the bathroom floor. The liquid substance was located under and in front of the bathroom sink. The sink was a wall mounted unit and had two water feed lines from the wall to the bottom of the sink. The lines did not have leak protection covers. The sink had a center drain extending down to the p-trap (a plumbing device that prevents sewer gases from entering the facility by maintaining a water seal. P-traps are commonly found under sinks, bathtubs and showers), then a pipe from the p-trap that terminated at the wall of the bathroom. The bathroom floor was a solid surface linoleum type floor mostly beige/tan in color with blue/green accents. An observation on 9/23/25 at 10:24 AM of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-19 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, the facility failed to provide a pureed diet (a smooth, creamy consistency/ texture) to a resident on an ordered therapeutic diet. Resident #24 was observed eating a moist to minced (food that can be easily mashed with little pressure from metal dinner fork, not sticky, no larger than 4 millimeters) breakfast meal. This deficient practice affected 1 of 8 residents reviewed for food form (Resident #24). The findings included:Resident #24 was admitted to the facility on [DATE] with diagnoses which included dysphagia (difficulty swallowing), vascular dementia, and decreased appetite. Resident #24 had a physician's order dated 2/15/2024 for a regular diet, pureed texture, thick liquids consistency. Resident #24's Care Plan, last revised on 3/20/2025, indicated the following interventions: 1) observe for/document/report to MD as needed (PRN) for signs and symptoms of dysphagia, pocketing, choking, coughing, drooling, holding food in mouth, several attempts…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-19 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, resident and staff interviews, and observations, the facility failed to provide resident meals in bowls along with preferred foods as ordered, for 1 of 1 resident with visual impairment (Resident #6), which resulted in Resident #6 having difficulty feeding himself and missing preferred foods.The findings included:Resident #6 was readmitted [DATE] with diagnoses including heart failure, kidney disease, gastro-esophageal reflux disease, dysphagia (trouble swallowing), Barrett's esophagus (inflammation of the esophagus), macular degeneration and legal blindness. The most recent quarterly Minimum Data Set Assessment (MDS) dated [DATE], indicated Resident #6 was cognitively intact. He required supervision for set up with eating. The Care Plan revised on 10/5/2023 for Resident #6, showed for the focus area of impaired vision related to macular degeneration and legal blindness revised on 10/05/2023, the goal was no decline of visual function with a target of 11/14/2025. Interventions included…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-11 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, staff, and resident interviews the facility failed to maintain resident areas and equipment in a safe and sanitary manner for 2 of 3 shower (Shower room [ROOM NUMBER] on the 200 hall, Shower room [ROOM NUMBER] on the 300 hall), clean wheelchairs for 4 of 7 Resident's wheelchairs (Resident #24, Resident #132, Resident # 64, and Resident #3), and repair a wall behind the bed (room [ROOM NUMBER] bed A) for 1 of 10 rooms reviewed for environmental concerns. The findings included: 1a. On 09/09/24 at 3:38 PM the entrance door of the 200 hall shower room [ROOM NUMBER] was propped open. Upon entering the shower room, a rancid odor permeated the entire shower room causing the surveyor to feel nauseous until the morning of 09/10/24. On the left side wall of the shower room where the sink was located a white ceramic toothbrush holder on the right side of the sink was loosely attached to the tile wall. The round floor drain cover located in the center of the shower room floor was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review the facility failed to complete a comprehensive significant change in status Minimum Data Set (MDS) assessment for 1 of 7 residents (Resident #11) reviewed for significant change in condition. The findings included: Resident #11 was readmitted to the facility on [DATE] with diagnoses that included urine retention and chronic kidney disease. A review of hospital discharge note dated 08/26/24 revealed in part Resident #11 had a urinary tract infection and a wound to her sacrum. Review of a readmission skin assessment dated [DATE] revealed in part that Resident #11 had a stage 3 pressure ulcer of the sacrum. A review of a nurse progress note dated 8/27/24 at 10:24 AM revealed in part that Resident #11 had a urinary catheter. A weight loss note dated 08/28/24 at 12:20 PM revealed that Resident #11 had a weight loss of 10% or greater in the last 180 days. A quarterly MDS assessment dated [DATE] included in part that Resident #11 had severe cognitive impairment, she was…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, the facility failed to provide care according to professional standards when Unit Manager #1 failed to ensure Resident #50 swallowed her medications prior to leaving her room and was observed with a pill lying on her chest, and Resident #13 was observed to have a medicine cup with pills left unattended on her bedside table. The deficient practice occurred for 2 of 2 residents reviewed for professional standards (Resident #50 and Resident #13). The findings included: 1. Resident #50 was admitted to the facility 4/23/24 with diagnoses that included cerebral infarction (stroke) and gastrostomy. A review of Resident #50's physician orders revealed an order dated 5/20/24 for Tramadol 50 milligrams (mg) one tablet by mouth every 8 hours. The physician orders further revealed Resident #50 was able to swallow medications whole and all her pills were ordered to be administered by mouth. The quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #50 had…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-12-15 · tag F0727 — failed to provide required RN coverage — widespread
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and staff interviews, the facility failed to use the services of a Registered Nurse (RN) for 8 consecutive hours per day for 10 of 10 dates reviewed (7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9/9/23). The findings included: The Payroll Based Journal (PBJ) data report for fiscal year 2023, the quarter from 7/1/23 to 9/30/23 was reviewed. The report indicated the facility had the following days within the quarter with no Registered Nurse (RN) hours: 7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9/9/23. The nursing schedules for 7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9//9/23 were reviewed. No RN was scheduled to work on the reviewed dates. The time sheets for 7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9//9/23 were reviewed and no RN were documented to have had worked any shifts for the reviewed dates. During an interview with the Director of Nursing (DON) on 12/13/23 at 12:40 PM she reported she had started…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Past Non-Compliance
  • Potential for harm · E2023-12-15 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews, observations, resident and staff interviews, the facility failed to resolve repeat grievances related to dietary issues that were reported during the Resident Council meetings for 8 of 11 months reviewed (January 2023, February 2023, March 2023, April 2023, May 2023, September 2023, October 2023, and November 2023). The findings included: Resident Council meeting minutes for 2023 were reviewed and revealed issues the Resident Council had identified: a. The Resident Council meeting minutes dated 1/12/2023 indicated that the food served for meals was cold, and no spoons were available. The Dietary Manager's written response to the resident council dated 1/13/2023 read: We temp [check the temperature] of all food before it leaves dietary [department for meal delivery]. We have spoons. b. The Resident Council meeting minutes dated 2/9/2023 indicated that the facility was always out of jelly, the eggs and grits were cold, and the menus were repeated without variety. The Dietary Manager's written response to the resident council dated 2/9/2023 read: We do have…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · E2023-12-15 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a test tray observation, record review, and resident and staff interviews the facility failed to serve food warm that should be served warm to 1 of 4 halls (300 hall). This practice had the potential to impact other residents. The findings included: 1)Resident #30 was admitted to the facility 3/8/2019. A review of the quarterly Minimum Data Set (MDS) revealed Resident #30 was cognitively intact and had not experienced weight loss. An interview was conducted with Resident #30 on 12/12/2023 at 9:45 a.m. and he revealed the food frequently arrives cold. An observation of the meal tray line service in the kitchen was conducted on 12/13/2023 at 12:31 p.m. The temperatures of the food items of regular and puree consistency were greater than 135-degree Fahrenheit. The food items were placed on heated plates from a plate [NAME]. The plated meals were covered with insulated, dome shaped lids with bottoms. The dome shaped lids did not close completely due to a bowl, containing brussel sprouts that prevented the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-12-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews the facility failed to date and label opened food in 1 of 1 walk in cooler. The findings included: On 12/11/2023 at 10:52 a.m. observations were made of the facility's walk-in cooler with the Dietary Manager (DM). Upon entrance there were the following items without a label or date: A. Sliced ham opened and wrapped in a plastic wrap. B. Two containers of sliced turkey wrapped in a plastic wrap. C. A freezer storage bag with a white chunk of food. This item also did not have an expiration date. During the observation of the walk-in cooler, an interview was conducted with the DM on 12/11/2023 at 10:52 a.m. and she revealed the sliced ham should contain a label and date. She added the two containers of sliced turkey should also contain a label and date. She stated the white substance stored in the freezer bag was cream cheese that had been removed from the original packaging. She stated it was her expectation that every item in the walk in cooler have a label and date when it has been opened. An interview was conducted with the Administrator…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-12-15 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and staff interviews the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor interventions the committee had previously put into place following the 5/12/2022 recertification and complaint investigation survey. The deficiencies were in the areas of (F636) Comprehensive Assessments; (F638) Quarterly Assessments at least every three months; (F641) Accuracy of Assessments; and (F812) Food Procurement and Store, Prepare, and Serve Food in a Sanitary Manner. These deficiencies were subsequently recited on the current recertification and complaint survey on 12/15/23. The continued failure during two federal surveys showed a pattern of the facility's inability to sustain an effective Quality Assurance Program. Findings included: The tag is cross-referenced to: F636-Based on record reviews and staff interviews, the facility failed to complete 1 of 4 admission comprehensive Minimum Data Set (MDS) assessments within 14 days of an admission and failed to complete comprehensive MDS assessments within 14…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-15 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, family and staff interviews the facility failed to notify the resident's responsible party (RP) of a change in roommate for 1 of 3 residents reviewed for notification of change (Resident #13). Findings included: Resident #13 was admitted to the facility on [DATE] with diagnoses of dementia and kidney disease. An annual Minimum Data Set assessment dated [DATE] indicated Resident #13 was severely cognitively impaired. On 12/11/2023 at 3:55 pm the RP was interviewed by phone and stated he was not notified Resident #13 would be getting a new roommate on 9/4/2023. He stated when he visited after 9/4/2023 the roommate was cussing, and he was concerned the cussing would upset Resident #13. During an interview with Nurse #1 by phone on 12/14/2023 at 10:53 am she stated she remembered Resident #13 having a change of roommate when she resided on the 100-hall, and the RP was upset because the roommate would cuss. Nurse #1 stated the roommate had not cussed at Resident #13, but she would talk to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-12-15 · tag F0636 — pattern
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to complete 1 of 4 admission comprehensive Minimum Data Set (MDS) assessments within 14 days of an admission (Resident #233) and failed to complete comprehensive MDS assessments within 14 days of the Assessment Reference Date (ARD) [the last day of the assessment period] for 5 of 26 sampled residents (Resident #7, Resident #19, Resident #30, Resident #239, Resident #27). The findings included: 1. a. Resident #233 was admitted to the facility on [DATE]. A review of Resident #233's admission MDS assessment with an ARD of 8/4/2023 was signed as completed on 8/16/2023. 2. a. Resident #7 was readmitted to the facility 7/30/2023. A review of Resident #7's annual MDS with an ARD of 5/11/2023 was signed as completed on 5/28/2023. b. Resident #7 was admitted to the facility 10/22/2019. A review of the annual MDS with an ARD of 4/18/2023 was signed as completed on 5/8/2023. c. Resident #30 was admitted to the facility 3/8/2019. A review of the annual MDS…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
  • No harm found · B2023-12-15 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to complete quarterly Minimum Data Set (MDS) assessments within 14 days of the Assessment Reference Date (ARD) [the last day of the assessment period] for 6 of 21 sampled residents (Resident #30, Resident #6, Resident #7, Resident #19, Resident # 236, and Resident #50). The findings included: A. Resident #30 was admitted to the facility on [DATE]. A review of Resident #30's quarterly MDS assessment with an ARD of 8/1/2023 was signed as complete on 8/17/2023. B. Resident #6 was admitted to the facility on [DATE]. A review of Resident #6's quarterly MDS assessment with an ARD of 11/10/2022 was signed as completed on 12/1/2022. C. Resident #7 was readmitted to the facility on [DATE]. A review of Resident #7's quarterly MDS assessment with an ARD of 11/2/2023 was signed as completed on 11/28/2023. D. Resident #19 was admitted to the facility on [DATE]. A review of Resident #19's quarterly MDS assessment with an ARD of 1/19/2023 was signed as completed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
  • No harm found · B2023-12-15 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to accurately code Minimum Data Set (MDS) assessments for 3 of 26 sampled residents (Resident #30, Resident #6, and Resident #19). The findings included: A. Resident #30 was admitted to the facility on [DATE]. A review of medication orders for Resident #30 revealed he was not prescribed antipsychotic medications. A review of the Quarterly MDS dated [DATE] documented yes that Resident #30 was taking antipsychotic medications. B. Resident #6 was admitted to the facility on [DATE]. A review of physician orders for Resident #6 revealed no orders for enteral feedings. A review of the quarterly MDS dated [DATE] documented no Resident #6 had not received enteral feedings. The MDS assessment documented Resident #6 received 500 milliliters or less and 25% of calories or less from enteral feedings. C. Resident #19 was admitted to the facility on [DATE]. A review of physician orders for Resident #19 revealed no orders for enteral feedings. A review of the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Past Non-Compliance

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIBERTY SENIOR LIVING — 37 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.8+0.2 vs chain
Health inspection 3 of 53.1-0.1 vs chain
Staffing 3 of 52.2+0.8 vs chain
Quality measures 2 of 53.0-1.0 vs chain
The other 36 homes this chain runs (chain average 2.8★, per CMS)
1 of 5Liberty Commons Nursing and Rehabilitation CenterWhiteville, NC 1 of 5Louisburg Healthcare & Rehabilitation CenterLouisburg, NC 1 of 5Mary Gran Nursing CenterClinton, NC 1 of 5Oak Forest Health and RehabilitationWinston-Salem, NC 1 of 5Woodhaven Nursing CenterLumberton, NC 2 of 5Highland House Rehabilitation and HealthcareFayetteville, NC 2 of 5Liberty Commons Nursing & Rehabilitation Center ofBenson, NC 2 of 5Liberty Commons Nursing and Rehabilitation CenterSanford, NC 2 of 5Liberty Commons Rehabilitation CenterWilmington, NC 2 of 5Pavilion Health Center at BrightmoreCharlotte, NC 2 of 5Pinehurst Healthcare & Rehabilitation CenterPinehurst, NC 2 of 5Pisgah Manor Health Care CenterCandler, NC 2 of 5Roxboro Healthcare & Rehab CenterRoxboro, NC 2 of 5Royal Park Rehabilitation & Health CenterMatthews, NC 2 of 5The Foley Center at Chestnut RidgeBlowing Rock, NC 2 of 5The OaksWinston-Salem, NC 3 of 5Bermuda Commons Nursing and Rehabilitation CenterAdvance, NC 3 of 5Elizabethtown Healthcare & Rehab CenterElizabethtown, NC 3 of 5Liberty Commons Nursing & Rehab Center of SouthporSouthport, NC 3 of 5Shoreland Health Care and Retirement Center IncWhiteville, NC 3 of 5Silver BluffCanton, NC 3 of 5Southwood Nursing and RetirementClinton, NC 3 of 5Summerstone Health and Rehabilitation CenterKernersville, NC 3 of 5Warren Hills Nursing CenterWarrenton, NC 4 of 5Briar Creek Health CenterCharlotte, NC 4 of 5Capital Nursing and Rehabilitation CenterRaleigh, NC 4 of 5Inn at Quail Haven VillagePinehurst, NC 4 of 5Liberty Commons Nursing & Rehabilitation Center ofBurlington, NC 4 of 5Liberty Commons Nursing and Rehabilitation CenterWeldon, NC 4 of 5Liberty Healthcare Services of Golden Years NursinFalcon, NC 4 of 5The Preserve At Fairfield GladeCrossville, TN 4 of 5Three Rivers Health and Rehabilitation CenterWindsor, NC 4 of 5Westfield Rehabilitation and Health CenterSanford, NC 4 of 5Woodlands Nursing & Rehabilitation CenterFayetteville, NC 5 of 5Parkview Health and Rehabilitation CenterChapel Hill, NC 5 of 5Yadkin Nursing and Care CenterYadkinville, NC

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
LIBERTY HEALTHCARE GROUP LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 04/04/2025
WILSON, JEFFREYIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE DIRECTOR; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 04/04/2025
MCNEILL, JOHNIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 04/04/2025
MCNEILL, RONALDIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 04/04/2025
MILLER, ROBERTIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 04/04/2025
CALCUTT, JOSEPHIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/01/2010
BERNARDINI, HOLLYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/23/2026
HENDERSON, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/23/2026
MCNEILL, ROBERTIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/21/2026
OLIVER, ANNAIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 03/18/2026
PURVIS, JENNYIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 03/23/2026
LIBERTY HEALTHCARE MANAGEMENT INCOrganizationADP OF THE SNFsince 04/04/2025
LIBERTY HEALTHCARE PROPERTIES OF ROWAN COUNTY, LLCOrganizationADP OF THE SNFsince 04/04/2025
LIBERTY REAL PROPERTIES, LLCOrganizationADP OF THE SNFsince 04/04/2025
LONG TERM CARE MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFsince 04/04/2025

CMS files one row per role, so the 24 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$10.3M
Net patient revenuemost recent cost report
+2.2%
Operating marginrevenue minus expenses
$2.7M
Related-party expense27% of expenses
Who pays — share of resident-days
Medicaid 52%Medicare 12%Other / private 36%

This home reported $2.7M paid to related parties — landlords or management companies under common ownership — equal to about 27% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$346per resident / day
operating cost
$10,524per month
≈ monthly operating cost
$354per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the North Carolina Medicaid page.

Typical monthly cost in North Carolina
$9,733/mo
Nursing home (semi-private)
$10,798/mo
Nursing home (private)
$6,496/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 345503. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-19, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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