Liberty Commons Nursing and Rehabilitation Center

CMS star ratings

Overall★★★★★ 2/5

State avg 2.9

Health inspections★★★★★ 3/5

State avg 2.9

Staffing★★★★★ 1/5

State avg 2.7

Quality measures★★★★★ 3/5

State avg 3.3

Long-stay quality★★★★★ 3/5

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: 3.17 (state 3.83 · U.S. 3.86)
Registered nurses (RN): 0.31 (state 0.61 · U.S. 0.69)
Licensed practical nurses: 1.03 (state 0.89 · U.S. 0.86)
Nurse aides: 1.82 (state 2.34 · U.S. 2.32)
Weekend total: 2.93 (state 3.40 · U.S. 3.42)
Nursing staff turnover: 70.5 (state 49.0 · U.S. 45.8)%
RN turnover: 88.9 (state 45.7 · U.S. 42.9)%
Administrators who left: 0 in the last year

Inspections

Last standard inspection: May 5, 2025
Health deficiencies (last cycle): 2.0 (state 4.8 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 34 health · 20 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-05-05	Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-05-22
2025-05-05	Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-05-22
2024-04-04	Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	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. F0584 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	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 2024-05-03
2024-04-04	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	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	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-05-03
2024-04-04	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	B No actual harm, potential for minimal harm	Corrected 2024-05-03
2023-02-09	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	K Immediate jeopardy to resident health or safety	Corrected 2023-03-17
2023-02-09	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	K Immediate jeopardy to resident health or safety	Corrected 2023-03-17
2023-02-09	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	J Immediate jeopardy to resident health or safety	Corrected 2023-03-17
2023-02-09	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	G Actual harm	Corrected 2023-03-17
2023-02-09	Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. F0626 · Resident Rights Deficiencies	G Actual harm	Corrected 2023-03-17
2023-02-09	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 2022-08-18
2023-02-09	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	E No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	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	E No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	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 2023-03-17
2023-02-09	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	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 2023-03-17
2023-02-09	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	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 2023-03-17
2023-02-09	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 2023-03-17
2023-02-09	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	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	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	D No actual harm, potential for more than minimal harm	Corrected 2023-03-17
2023-02-09	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2023-03-17

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

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Liberty Commons Nursing and Rehabilitation Center of Lee County, LLC (organization)	5%+ Direct Ownership Interest
McNeill, John (individual)	5%+ Direct Ownership Interest
McNeill, Ronald (individual)	5%+ Direct Ownership Interest
Calcutt, Joseph (individual)	Administrator · NOT APPLICABLE
Liberty Healthcare Management INC (organization)	Administrator · NOT APPLICABLE
Long Term Care Management Services LLC (organization)	Administrator · NOT APPLICABLE
Miller, Robert (individual)	Administrator · NOT APPLICABLE
Simpson Tarokh, Leann (individual)	Administrator · NOT APPLICABLE
Wilson, Jeffrey (individual)	Administrator · NOT APPLICABLE
McNeill, John (individual)	Corporate Director · NOT APPLICABLE
Miller, Robert (individual)	Corporate Director · NOT APPLICABLE
Wilson, Jeffrey (individual)	Corporate Director · NOT APPLICABLE
Calcutt, Joseph (individual)	Corporate Officer · NOT APPLICABLE
McNeill, Ronald (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, Ronald (individual)	Indirect Ownership Interest · NOT APPLICABLE
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust (organization)	Indirect Ownership Interest · NOT APPLICABLE
McNeill, Robert (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Oliver, Anna (individual)	Individual Is An Owner, Partner Or Trustee Of Any Administrator · 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
Simpson Tarokh, Leann (individual)	Operational/managerial Control · NOT APPLICABLE
Watson, William (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

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

Liberty Commons Nursing and Rehabilitation Center 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 and Rehabilitation Center have?

It has 80 certified beds and cares for about 75 residents per day.

Has Liberty Commons Nursing and Rehabilitation Center been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Liberty Commons Nursing and Rehabilitation Center?

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

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

(919) 499-2206. The facility is located at 310 Commerce Drive, Sanford, NC 27332.

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Contact & location

Facility details