Liberty Commons Nursing & Rehab Center of Southpor
630 Fodale Avenue, Southport, NC 28461 · CCN 345373
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 99
- Avg residents/day
- 67.5
- Phone
- 9104579581
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-01 | 6 | 5.6 | 9.5 | +0.4 worse |
| 2 | 2024-03-07 | 7 | 7.2 | 9.8 | -0.2 better |
| 3 | 2022-11-21 | 18 | 7.4 | 9.3 | +10.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.72 | — |
| RN staffing (reported) | 0.68 | — |
| Total nurse staffing (adjusted) | 3.96 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- LIBERTY SENIOR LIVING
- Facilities in chain
- 35
- Chain avg overall
- 2.60 / 5
Inspection citations (31)
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-19 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-05-01 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-01 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0727Have 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.2025-05-01 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-05-01 · Health · corrected 2025-05-21
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-05-01 · Health · corrected 2025-05-21
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-03-07 · Health · corrected 2024-03-29
Potential for more than minimal harm
- BF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-03-07 · Health · corrected 2024-03-29
Potential for minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2024-03-07 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-03-07 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2024-03-07 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0761Ensure 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.2024-03-07 · Health · corrected 2024-03-29
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-03-07 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- BF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-11-21 · Health · corrected 2022-12-23
Potential for minimal harm
- BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-21 · Health · corrected 2022-12-22
Potential for minimal harm
- BF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-21 · Health · corrected 2022-12-22
Potential for minimal harm
- DF0688Provide 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.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- EF0761Ensure 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.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- FF0803Ensure 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.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2022-11-21 · Health · corrected 2023-01-05
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LONG TERM CARE MANAGEMENT SERVICES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-03-10 |
| MCNEILL, JOHN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2011-03-10 |
| MCNEILL, RONALD | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2011-03-10 |
| LONG TERM CARE MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 |
| CALCUTT, JOESEPH V | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-03-10 |
| MCNEILL, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 |
| MCNEILL, RONALD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 |
| PETERS, DANIELLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 |
| PETERSON, GAJARAH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 |
| WILSON, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-29 |
| MILLER, ROBERT | Individual | CORPORATE DIRECTOR | — | 2024-09-01 |
| CALCUTT, JOESEPH V | Individual | CORPORATE OFFICER | — | 2011-03-10 |
Other facilities in Southport
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.