Liberty Commons Nursing & Rehab Center Of Southpor
Liberty Commons Nursing & Rehab Center of Southpor in Southport, NC — inspection on November 19, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During a follow up interview on 10/17/25 at 12:00 PM Nurse #1 stated she was an agency nurse and was not certain what the facility protocol was for checking neurological assessments following unwitnessed injuries.
She stated the neurological assessments that she completed on 10/2/25 were only what was recorded in the electronic medical record.
During a phone interview on 10/22/25 at 2:00 PM the Assistant Director of Nursing stated she recorded one of the neurological assessments on 10/2/25 and when she documented the assessment the electronic medical record pulled the most recent vital signs which were from 9/30/25.
She stated that was done in error on her part and she should have ensured up to date vital signs were done and recorded in the medical record.
During an interview on 10/17/25 at 11:00 AM the Director of Nursing (DON) stated a full investigation was initiated on 10/2/25 at 8:00 AM when unexplained bruising was observed on Resident #1 by the Hospice Nurse Aide who reported it to Nurse #1.
The DON stated Resident #1 had no reported falls or trauma and was evaluated at the hospital and diagnosed with facial bruising and a tibia fibula fracture.
The DON stated Nurse #5 should have gone to the room and checked Resident #1 and completed a full assessment at 5:00 AM on 10/2/25 when Nurse Aide #3 reported unexplained marks and bruising but Nurse #5 did not do that.
The DON stated when the unexplained facial bruising was later observed by Nurse #1 at approximately 7:30 AM on 10/2/25 Nurse #1 should have initiated neurological assessments every hour for four hours, then every shift for a total of 48 hours.
The DON stated up to date vital signs were part of the neurological assessments.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.