LIBERTY COMMONS NRSG & REHAB CNTR OF SOUTHPORT LLC

πŸ“ 630 FODALE AVENUE, southport, NC 28461 πŸ“ž 9104579581 πŸ›οΈ 99 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

44
Total Violations
7 years of data
$41,233
Total Fines
3 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0580 D May 1, 2025

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

βœ“ Corrected: May 21, 2025

2024 7 violations

Tag 0561 E Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0636 B Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0685 D Mar 7, 2024

Assist a resident in gaining access to vision and hearing services.

βœ“ Corrected: Mar 29, 2024
Tag 0757 E Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024
Tag 0760 E Mar 7, 2024

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 29, 2024
Tag 0761 D Mar 7, 2024

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: Mar 29, 2024
Tag 0867 E Mar 7, 2024

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

βœ“ Corrected: Mar 29, 2024

2022 18 violations

Tag 0580 D Nov 21, 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: Jan 5, 2023
Tag 0641 D Nov 21, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jan 5, 2023
Tag 0655 B Nov 21, 2022

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

βœ“ Corrected: Dec 23, 2022
Tag 0656 B Nov 21, 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: Dec 22, 2022
Tag 0657 B Nov 21, 2022

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: Dec 22, 2022
Tag 0688 D Nov 21, 2022

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.

βœ“ Corrected: Jan 5, 2023
Tag 0690 E Nov 21, 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: Jan 5, 2023
Tag 0692 D Nov 21, 2022

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

βœ“ Corrected: Jan 5, 2023
Tag 0726 D Nov 21, 2022

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.

βœ“ Corrected: Jan 5, 2023
Tag 0756 D Nov 21, 2022

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: Jan 5, 2023
Tag 0757 D Nov 21, 2022

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

βœ“ Corrected: Jan 5, 2023
Tag 0761 E Nov 21, 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: Jan 5, 2023
Tag 0803 F Nov 21, 2022

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.

βœ“ Corrected: Jan 5, 2023
Tag 0806 D Nov 21, 2022

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

βœ“ Corrected: Jan 5, 2023
Tag 0812 F Nov 21, 2022

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

βœ“ Corrected: Jan 5, 2023
Tag 0867 F Nov 21, 2022

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

βœ“ Corrected: Jan 5, 2023
Tag 0880 E Nov 21, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 5, 2023
Tag 0908 F Nov 21, 2022

Keep all essential equipment working safely.

βœ“ Corrected: Jan 5, 2023

2021 6 violations

Tag 0658 D Jul 30, 2021

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

βœ“ Corrected: Aug 23, 2021
Tag 0689 D Jul 30, 2021

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

βœ“ Corrected: Aug 23, 2021
Tag 0726 D Jul 30, 2021

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.

βœ“ Corrected: Aug 19, 2021
Tag 0760 D Jul 30, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Aug 19, 2021
Tag 0842 E Jul 30, 2021

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

βœ“ Corrected: Aug 23, 2021
Tag 0880 E Jul 30, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 23, 2021

2020 5 violations

Tag 0689 D Aug 27, 2020

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

βœ“ Corrected: Sep 9, 2020
Tag 0658 D Jun 19, 2020

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

βœ“ Corrected: Jul 3, 2020
Tag 0658 E Jan 9, 2020

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

βœ“ Corrected: Feb 6, 2020
Tag 0725 D Jan 9, 2020

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: Feb 6, 2020
Tag 0812 F Jan 9, 2020

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

βœ“ Corrected: Feb 6, 2020

2018 4 violations

Tag 0689 J Dec 12, 2018

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

βœ“ Corrected: Jan 3, 2019
Tag 0812 F Dec 12, 2018

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

βœ“ Corrected: Jan 3, 2019
Tag 0867 F Dec 12, 2018

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

βœ“ Corrected: Jan 3, 2019
Tag 0585 D Apr 24, 2018

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.

βœ“ Corrected: May 4, 2018

2017 3 violations

Tag 0371 F Nov 22, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Dec 15, 2017
Tag 0431 D Nov 22, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Dec 15, 2017
Tag 0520 F Nov 22, 2017

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

βœ“ Corrected: Dec 15, 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 1 penalties totaling $18,370

$18,370
Fine
November 21, 2022
Average: $18,370 | Range: $18,370 - $18,370

2021 1 penalties totaling $14,735

$14,735
Fine
July 30, 2021
Average: $14,735 | Range: $14,735 - $14,735

2018 1 penalties totaling $8,128

$8,128
Fine
December 12, 2018
Average: $8,128 | Range: $8,128 - $8,128

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 7, 2024
0.00

Health

November 21, 2022
0.00

Health

July 30, 2021
0.00

Health

January 9, 2020
0.00

Quality Measures

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
345373
345373
9104579581
Brunswick

Historical Ownership Records

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