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LIBERTY COMMONS NSG & REH JOHN

πŸ“ 2315 HIGHWAY 242 NORTH, benson, NC 27504 πŸ“ž 9192071717 πŸ›οΈ 100 beds

Overall Rating

⭐⭐⭐
3/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

75
Total Violations
6 years of data
$42,524
Total Fines
2 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 9 violations

Tag 0645 D Jul 12, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Aug 12, 2024
Tag 0690 D Jul 12, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Aug 12, 2024
Tag 0695 D Jul 12, 2024

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Aug 12, 2024
Tag 0698 D Jul 12, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Aug 12, 2024
Tag 0755 D Jul 12, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Aug 12, 2024
Tag 0758 D Jul 12, 2024

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.

βœ“ Corrected: Aug 12, 2024
Tag 0776 D Apr 25, 2024

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

βœ“ Corrected: Mar 19, 2024
Tag 0842 E Apr 25, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: May 10, 2024
Tag 0867 E Apr 25, 2024

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: May 10, 2024

2023 22 violations

Tag 0557 D Dec 8, 2023

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Nov 3, 2023
Tag 0580 J Dec 8, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Dec 21, 2023
Tag 0684 J Dec 8, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 21, 2023
Tag 0755 D Dec 8, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Dec 21, 2023
Tag 0867 D Dec 8, 2023

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Dec 21, 2023
Tag 0944 E Dec 8, 2023

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

βœ“ Corrected: Dec 21, 2023
Tag 0600 J Jun 2, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: May 26, 2023
Tag 0638 D Apr 21, 2023

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Jun 6, 2023
Tag 0655 D Apr 21, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jun 6, 2023
Tag 0657 D Apr 21, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jun 6, 2023
Tag 0689 G Apr 21, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Apr 21, 2023
Tag 0690 D Apr 21, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jun 6, 2023
Tag 0692 D Apr 21, 2023

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Jun 6, 2023
Tag 0756 E Apr 21, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jun 6, 2023
Tag 0757 D Apr 21, 2023

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: Jun 6, 2023
Tag 0758 D Apr 21, 2023

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.

βœ“ Corrected: Jun 6, 2023
Tag 0761 E Apr 21, 2023

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.

βœ“ Corrected: Jun 6, 2023
Tag 0806 D Apr 21, 2023

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Jun 6, 2023
Tag 0812 F Apr 21, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 6, 2023
Tag 0814 E Apr 21, 2023

Dispose of garbage and refuse properly.

βœ“ Corrected: Jun 6, 2023

2022 27 violations

Tag 0583 E Oct 27, 2022

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Dec 2, 2022
Tag 0761 E Oct 27, 2022

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.

βœ“ Corrected: Dec 2, 2022
Tag 0550 D Feb 25, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Apr 14, 2022
Tag 0580 D Feb 25, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Apr 14, 2022
Tag 0582 B Feb 25, 2022

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Mar 30, 2022
Tag 0584 B Feb 25, 2022

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.

βœ“ Corrected: Mar 30, 2022
Tag 0600 J Feb 25, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 14, 2022
Tag 0607 J Feb 25, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Apr 14, 2022
Tag 0623 D Feb 25, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Apr 14, 2022
Tag 0636 E Feb 25, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Apr 14, 2022
Tag 0638 E Feb 25, 2022

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Apr 14, 2022
Tag 0641 D Feb 25, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Apr 14, 2022
Tag 0655 D Feb 25, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Apr 14, 2022
Tag 0656 D Feb 25, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Apr 14, 2022
Tag 0684 D Feb 25, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Apr 14, 2022
Tag 0686 E Feb 25, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 14, 2022
Tag 0690 D Feb 25, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Apr 14, 2022
Tag 0727 E Feb 25, 2022

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.

βœ“ Corrected: Apr 14, 2022
Tag 0732 C Feb 25, 2022

Post nurse staffing information every day.

βœ“ Corrected: Mar 30, 2022
Tag 0755 D Feb 25, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Apr 14, 2022

2019 10 violations

Tag 0689 D Nov 26, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 4, 2020
Tag 0755 E Nov 26, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 4, 2020
Tag 0806 D Nov 26, 2019

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Jan 4, 2020
Tag 0645 D Aug 29, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Sep 26, 2019
Tag 0657 D Aug 29, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 26, 2019
Tag 0679 D Aug 29, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Sep 26, 2019
Tag 0761 D Aug 29, 2019

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.

βœ“ Corrected: Sep 26, 2019
Tag 0677 E May 20, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jun 17, 2019
Tag 0689 D May 20, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jun 17, 2019
Tag 0725 E May 20, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jun 17, 2019

2018 2 violations

Tag 0692 D Aug 9, 2018

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Aug 30, 2018
Tag 0812 D Aug 9, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 30, 2018

2017 5 violations

Tag 0176 D Aug 17, 2017

Allow residents to self-administer drugs if determined safe.

βœ“ Corrected: Sep 14, 2017
Tag 0242 D Aug 17, 2017

Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

βœ“ Corrected: Sep 14, 2017
Tag 0329 E Aug 17, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Sep 14, 2017
Tag 0441 D Aug 17, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Sep 14, 2017
Tag 0520 D Aug 17, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Sep 14, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $42,524

$42,524
Fine
February 25, 2022
$0
Payment Denial
February 25, 2022
Average: $21,262 | Range: $0 - $42,524

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

July 12, 2024
0.00

Health

April 25, 2024
0.00

Health

December 8, 2023
0.00

Health

June 2, 2023
0.00

Health

April 21, 2023
0.00

Health

October 27, 2022
0.00

Health

February 25, 2022
0.00

Health

August 29, 2019
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345519
345519
9192071717
Johnston

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization