Liberty Commons Nursing & Rehabilitation Center of

CMS star ratings

Overall★★★★★ 2/5

State avg 2.9

Health inspections★★★★★ 2/5

State avg 2.9

Staffing★★★★★ 2/5

State avg 2.7

Quality measures★★★★★ 3/5

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: 3.44 (state 3.83 · U.S. 3.86)
Registered nurses (RN): 0.43 (state 0.61 · U.S. 0.69)
Licensed practical nurses: 1.01 (state 0.89 · U.S. 0.86)
Nurse aides: 2.01 (state 2.34 · U.S. 2.32)
Weekend total: 3.13 (state 3.40 · U.S. 3.42)
Nursing staff turnover: 50.5 (state 49.0 · U.S. 45.8)%
RN turnover: 45.5 (state 45.7 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: November 20, 2025
Health deficiencies (last cycle): 7.0 (state 4.8 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 37 health · 19 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-11-20	Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-12-19
2025-11-20	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 2025-12-19
2025-11-20	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-19
2025-11-20	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	D No actual harm, potential for more than minimal harm	Corrected 2025-12-19
2025-11-20	Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-12-19
2025-11-20	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 2025-12-19
2025-11-20	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2025-12-19
2024-07-12	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-12
2024-07-12	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-08-12
2024-07-12	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 2024-08-12
2024-07-12	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-12
2024-07-12	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 2024-08-12
2024-07-12	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-08-12
2024-04-25	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	E No actual harm, potential for more than minimal harm	Corrected 2024-05-10
2024-04-25	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2024-05-10
2024-04-25	Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. F0776 · Administration Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-03-19
2023-12-08	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 2023-12-21
2023-12-08	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 2023-12-21
2023-12-08	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2023-12-21
2023-12-08	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2023-11-03
2023-12-08	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 2023-12-21
2023-12-08	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 2023-12-21
2023-04-21	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	G Actual harm	Corrected 2022-10-24
2023-04-21	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	F No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	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 2023-06-06
2023-04-21	Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06
2023-04-21	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-06-06

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

2 penalties in the last three years, including $15,593 in fines.

Date	Type	Amount
2023-12-08	Fine	$7,797
2023-12-08	Fine	$7,796

Ownership & management

Name	Role	Since
Liberty Commons Nursing & Rehab of Johnston County, LLC (organization)	5%+ Direct Ownership Interest
Calcutt, Joseph (individual)	Administrator · NOT APPLICABLE
Hogue, Janet (individual)	Administrator · NOT APPLICABLE
James, Michael (individual)	Administrator · NOT APPLICABLE
Liberty Healthcare Management INC (organization)	Administrator · NOT APPLICABLE
Liberty Healthcare Properties of Columbus County LLC (organization)	Administrator · NOT APPLICABLE
Liberty Real Properties, LLC (organization)	Administrator · NOT APPLICABLE
Long Term Care Management Services LLC (organization)	Administrator · NOT APPLICABLE
McNeill, John (individual)	Administrator · NOT APPLICABLE
McNeill, Ronald (individual)	Administrator · NOT APPLICABLE
Miller, Robert (individual)	Administrator · NOT APPLICABLE
Wilson, Jeffrey (individual)	Administrator · NOT APPLICABLE
Miller, Robert (individual)	Corporate Director · NOT APPLICABLE
Calcutt, Joseph (individual)	Corporate Officer · NOT APPLICABLE
Wilson, Jeffrey (individual)	Corporate Officer · NOT APPLICABLE
John a McNeill JR 2012 Irrv TR (organization)	Indirect Ownership Interest · NOT APPLICABLE
Liberty Healthcare Group LLC (organization)	Indirect Ownership Interest · NOT APPLICABLE
McNeill, John (individual)	Indirect Ownership Interest · NOT APPLICABLE
McNeill, Ronald (individual)	Indirect Ownership Interest · NOT APPLICABLE
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust (organization)	Indirect Ownership Interest · NOT APPLICABLE
Purvis, Jenny (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Wilson, Jeffrey (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Hogue, Janet (individual)	Operational/managerial Control · NOT APPLICABLE
James, Michael (individual)	Operational/managerial Control · NOT APPLICABLE
McNeill, Robert (individual)	Trustee Of The Snf · NOT APPLICABLE
Oliver, Anna (individual)	Trustee Of The Snf · NOT APPLICABLE

Frequently asked questions

What is the rating of Liberty Commons Nursing & Rehabilitation Center of?

Liberty Commons Nursing & Rehabilitation Center of has a 2-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 Liberty Commons Nursing & Rehabilitation Center of have?

It has 100 certified beds and cares for about 95 residents per day.

Has Liberty Commons Nursing & Rehabilitation Center of been fined?

Yes. CMS lists 2 penalties totaling $15,593 in the last three years.

Who owns Liberty Commons Nursing & Rehabilitation Center of?

It is part of Liberty Senior Living and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Liberty Commons Nursing & Rehabilitation Center of?

(919) 207-1717. The facility is located at 2315 Highway 242 North, Benson, NC 27504.

Contact & location

Facility details