Senior Care Records.

Liberty Commons Nursing & Rehab Center of Southpor

630 Fodale Avenue, Southport, NC, 28461

Nursing home99 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 6 deficiencies against Liberty Commons Nursing & Rehab Center of Southpor in Southport, North Carolina at its most recent standard inspection on 2025-05-01, 2 of them arising from complaints. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
99certified beds
6deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.27
Potential for minimal harmThe least serious band.4
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

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

Quality of Life and Care Deficiencies · F0684 · 2025-11-19 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0580 · 2025-05-01 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0658 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Nursing and Physician Services Deficiencies · F0727 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm

D

Provide timely, quality laboratory services/tests to meet the needs of residents.

Administration Deficiencies · F0770 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-05-01 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0561 · 2024-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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

Pharmacy Service Deficiencies · F0757 · 2024-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2024-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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

Administration Deficiencies · F0867 · 2024-03-07 · standard survey · No actual harm, potential for more than minimal harm

E

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

Quality of Life and Care Deficiencies · F0685 · 2024-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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.

Pharmacy Service Deficiencies · F0761 · 2024-03-07 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0636 · 2024-03-07 · standard survey · No actual harm, potential for minimal harm

B

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.

Nutrition and Dietary Deficiencies · F0803 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

F

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

Nutrition and Dietary Deficiencies · F0812 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

F

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

Administration Deficiencies · F0867 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

F

Keep all essential equipment working safely.

Environmental Deficiencies · F0908 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

F

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

Quality of Life and Care Deficiencies · F0690 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

E

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.

Pharmacy Service Deficiencies · F0761 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

E

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2022-11-21 · standard survey · No actual harm, potential for more than minimal harm

E
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home2 of 5
Nurse hours per resident per dayReported by the home to CMS3.58334
Ownership

Who owns Liberty Commons Nursing & Rehab Center of Southpor

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
LONG TERM CARE MANAGEMENT SERVICES LLCOrganization100%since 03/10/2011
LIBERTY LONG TERM CARE LLCOrganizationNOT APPLICABLEsince 04/01/2025
JOHN A MCNEILL JR 2012 IRRV TROrganizationNOT APPLICABLEsince 04/29/2025
LIBERTY HEALTHCARE GROUP LLCOrganizationNOT APPLICABLEsince 04/29/2025
OCEAN TRAIL CONVALESCENT CENTER INC.OrganizationNOT APPLICABLEsince 04/29/2025
MCNEILL, JOHNIndividualNOT APPLICABLEsince 04/29/2025
MILLER, ROBERTIndividualNOT APPLICABLEsince 09/01/2024
CALCUTT, JOSEPHIndividualNOT APPLICABLEsince 03/10/2011
LONG TERM CARE MANAGEMENT SERVICES LLCOrganizationNOT APPLICABLEsince 04/29/2025
CALCUTT, JOSEPHIndividualNOT APPLICABLEsince 03/10/2011
MCNEILL, JOHNIndividualNOT APPLICABLEsince 04/29/2025
MCNEILL, RONALDIndividualNOT APPLICABLEsince 04/29/2025

Part of the LIBERTY SENIOR LIVING group.

Contact

Ask Liberty Commons Nursing & Rehab Center of Southpor a question

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What is needed

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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 345373.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction