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Liberty Commons Nsg And Rehab Ctr Of Lee County

📍 310 Commerce Drive, Sanford, NC 27332 📞 (919) 499-2206 🛏️ 80 beds

Inspection History Overview

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 1 penalties totaling $68,027

$68,027
Feb 17, 2022

Fine

2020 1 penalties totaling $3,276

$3,276
Oct 14, 2020

Fine

2019 2 penalties totaling $18,912

$8,294
Jul 31, 2019

Fine

$10,618
Feb 28, 2019

Fine

2018 1 penalties totaling $13,627

$13,627
Jul 6, 2018

Fine

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Health Violations by Year

2025 2 violations

Tag 0658 D May 5, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 22, 2025
Tag 0760 E May 5, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: May 22, 2025

2024 10 violations

Tag 0550 D Apr 4, 2024

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

✓ Corrected: May 3, 2024
Tag 0561 D Apr 4, 2024

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: May 3, 2024
Tag 0584 D Apr 4, 2024

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.

✓ Corrected: May 3, 2024
Tag 0623 B Apr 4, 2024

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

✓ Corrected: May 3, 2024
Tag 0641 D Apr 4, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: May 3, 2024
Tag 0644 D Apr 4, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: May 3, 2024
Tag 0677 D Apr 4, 2024

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

✓ Corrected: May 3, 2024
Tag 0791 E Apr 4, 2024

Provide or obtain dental services for each resident.

✓ Corrected: May 3, 2024
Tag 0842 D Apr 4, 2024

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

✓ Corrected: May 3, 2024
Tag 0867 D Apr 4, 2024

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

✓ Corrected: May 3, 2024
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2023 24 violations

Tag 0689 D Jul 6, 2023

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

✓ Corrected: Aug 15, 2023
Tag 0867 D Jul 6, 2023

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

✓ Corrected: Aug 15, 2023
Tag 0561 D Feb 9, 2023

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Mar 17, 2023
Tag 0580 J Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0600 G Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0610 D Feb 9, 2023

Respond appropriately to all alleged violations.

✓ Corrected: Mar 17, 2023
Tag 0623 C Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0626 G Feb 9, 2023

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Mar 17, 2023
Tag 0641 D Feb 9, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 17, 2023
Tag 0656 D Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0657 D Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0677 D Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0684 D Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0686 K Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0688 D Feb 9, 2023

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.

✓ Corrected: Mar 17, 2023
Tag 0689 G Feb 9, 2023

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

✓ Corrected: Aug 18, 2022
Tag 0690 D Feb 9, 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.

✓ Corrected: Mar 17, 2023
Tag 0695 D Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0756 D Feb 9, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0758 E Feb 9, 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.

✓ Corrected: Mar 17, 2023

2022 23 violations

Tag 0550 E Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0554 D Feb 17, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Mar 29, 2022
Tag 0558 D Feb 17, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 29, 2022
Tag 0561 E Feb 17, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Mar 29, 2022
Tag 0565 D Feb 17, 2022

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Mar 29, 2022
Tag 0604 D Feb 17, 2022

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Mar 29, 2022
Tag 0623 B Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0637 D Feb 17, 2022

Assess the resident when there is a significant change in condition

✓ Corrected: Mar 29, 2022
Tag 0641 E Feb 17, 2022

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 29, 2022
Tag 0656 D Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0657 B Feb 17, 2022

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

✓ Corrected: Mar 9, 2022
Tag 0658 D Feb 17, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 29, 2022
Tag 0677 E Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0679 D Feb 17, 2022

Provide activities to meet all resident's needs.

✓ Corrected: Mar 29, 2022
Tag 0684 D Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0686 E Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0689 G Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0692 D Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
Tag 0835 F Feb 17, 2022

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Mar 29, 2022
Tag 0842 D Feb 17, 2022

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

✓ Corrected: Mar 29, 2022
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2020 24 violations

Tag 0880 E Oct 14, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 20, 2020
Tag 0550 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0584 D Feb 6, 2020

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.

✓ Corrected: Mar 3, 2020
Tag 0585 D Feb 6, 2020

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

✓ Corrected: Mar 3, 2020
Tag 0637 D Feb 6, 2020

Assess the resident when there is a significant change in condition

✓ Corrected: Mar 3, 2020
Tag 0640 D Feb 6, 2020

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

✓ Corrected: Mar 3, 2020
Tag 0641 E Feb 6, 2020

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 3, 2020
Tag 0657 E Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0658 D Feb 6, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Mar 3, 2020
Tag 0677 E Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0679 E Feb 6, 2020

Provide activities to meet all resident's needs.

✓ Corrected: Mar 3, 2020
Tag 0686 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0688 D Feb 6, 2020

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.

✓ Corrected: Mar 3, 2020
Tag 0689 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0690 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0695 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0727 B Feb 6, 2020

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.

✓ Corrected: Mar 3, 2020
Tag 0732 B Feb 6, 2020

Post nurse staffing information every day.

✓ Corrected: Mar 3, 2020
Tag 0756 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020
Tag 0757 D Feb 6, 2020

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

✓ Corrected: Mar 3, 2020

2019 15 violations

Tag 0689 G Jul 31, 2019

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

✓ Corrected: Jul 23, 2019
Tag 0550 G Feb 28, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0565 E Feb 28, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Apr 12, 2019
Tag 0623 C Feb 28, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0641 D Feb 28, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 12, 2019
Tag 0644 D Feb 28, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Apr 12, 2019
Tag 0656 D Feb 28, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0688 E Feb 28, 2019

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.

✓ Corrected: Apr 12, 2019
Tag 0689 D Feb 28, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0697 D Feb 28, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Apr 12, 2019
Tag 0742 G Feb 28, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Apr 12, 2019
Tag 0756 D Feb 28, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0758 E Feb 28, 2019

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.

✓ Corrected: Apr 12, 2019
Tag 0842 D Feb 28, 2019

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

✓ Corrected: Apr 12, 2019
Tag 0881 E Feb 28, 2019

Implement a program that monitors antibiotic use.

✓ Corrected: Apr 12, 2019
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2018 12 violations

Tag 0580 D Jul 6, 2018

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

✓ Corrected: Jul 20, 2018
Tag 0727 E Jul 6, 2018

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.

✓ Corrected: Jul 20, 2018
Tag 0760 J Jul 6, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Jul 24, 2018
Tag 0641 D Jan 8, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 5, 2018
Tag 0656 D Jan 8, 2018

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

✓ Corrected: Feb 2, 2018
Tag 0657 D Jan 8, 2018

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

✓ Corrected: Feb 2, 2018
Tag 0688 D Jan 8, 2018

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.

✓ Corrected: Jan 26, 2018
Tag 0745 D Jan 8, 2018

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Feb 2, 2018
Tag 0758 E Jan 8, 2018

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.

✓ Corrected: Feb 2, 2018
Tag 0825 D Jan 8, 2018

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Feb 2, 2018
Tag 0865 D Jan 8, 2018

Have a plan that describes the process for conducting QAPI and QAA activities.

✓ Corrected: Feb 5, 2018
Tag 0880 D Jan 8, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 2, 2018

2017 2 violations

Tag 0281 D Apr 12, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Apr 28, 2017
Tag 0441 D Apr 12, 2017

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

✓ Corrected: Apr 28, 2017
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