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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