Liberty Commons Nursing & Rehab Center of Southpor
Liberty Commons Nursing & Rehab Center of Southpor, in Southport, North Carolina, holds 99 certified beds and has been certified for Medicare and Medicaid since 1991-05-31, averaging 79.3 residents a day.
Has Liberty Commons Nursing & Rehab Center of Southpor been cited for violations?
CMS lists 31 health-inspection deficiencies for Liberty Commons Nursing & Rehab Center of Southpor since 2022-11-21, 13 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-11-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-19 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-05-01 | F0580, F0658, F0727, F0770, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide and implement an infection prevention and control program. | D |
| 2024-03-07 | F0561, F0757, F0760, F0867 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2024-03-07 | F0685, F0761 | Assist a resident in gaining access to vision and hearing services. / 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. | D |
| 2024-03-07 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B |
| 2022-11-21 | F0803, F0812, F0867, F0908 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Keep all essential equipment working safely. | F |
| 2022-11-21 | F0690, F0761, F0880 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide and implement an infection prevention and control program. | E |
| 2022-11-21 | F0580, F0641, F0688, F0692, F0726, F0756, F0757, F0806 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / 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. / Provide enough food/fluids to maintain a resident's health. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2022-11-21 | F0655, F0656, F0657 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B |
How is Liberty Commons Nursing & Rehab Center of Southpor staffed relative to the NC average?
| Measure | This facility | NC average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.58334 | 3.83430 |
| Average number of residents per day | 79.3 | 86.9 |
Who owns Liberty Commons Nursing & Rehab Center of Southpor, and what chain is it in?
Liberty Commons Nursing & Rehab Center of Southpor is registered with CMS as For profit - Limited Liability company, operates under the legal business name LIBERTY HEALTHCARE GROUP LLC and belongs to the LIBERTY SENIOR LIVING chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | LONG TERM CARE MANAGEMENT SERVICES LLC | since 03/10/2011 |
| DIRECT OWNERSHIP INTEREST | LIBERTY LONG TERM CARE LLC | since 04/01/2025 |
| INDIRECT OWNERSHIP INTEREST | JOHN A MCNEILL JR 2012 IRRV TR, LIBERTY HEALTHCARE GROUP LLC, OCEAN TRAIL CONVALESCENT CENTER INC., MCNEILL, JOHN | since 04/29/2025 |
| CORPORATE DIRECTOR | MILLER, ROBERT | since 09/01/2024 |
| CORPORATE OFFICER | CALCUTT, JOSEPH | since 03/10/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | LONG TERM CARE MANAGEMENT SERVICES LLC, CALCUTT, JOSEPH, MCNEILL, JOHN, MCNEILL, RONALD, PETERS, DANIELLE, PETERSON, GAJARAH, WILSON, JEFFREY | since 03/10/2011 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | WILSON, JEFFREY | since 05/30/2025 |
| TRUSTEE OF THE SNF | MCNEILL, ROBERT | since 04/29/2025 |
| ADP OF THE SNF | JOHN A MCNEILL JR 2012 IRRV TR, LIBERTY HEALTHCARE GROUP LLC, LIBERTY HEALTHCARE MANAGEMENT INC, LIBERTY LONG TERM CARE LLC, LONG TERM CARE MANAGEMENT SERVICES LLC, OCEAN TRAIL CONVALESCENT CENTER INC., BROWN, NOLAN, CALCUTT, JOSEPH, MILLER, ROBERT, WILSON, JEFFREY | since 04/29/2025 |
Were you or a family member harmed at Liberty Commons Nursing & Rehab Center of Southpor?