Liberty Commons Nursing and Rehabilitation Center
A nursing home in Sanford, North Carolina 27332
310 Commerce Drive, Sanford, North Carolina 27332. (919) 499-2206.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle North Carolina average: 4.6
- 3.18 nurse hours per resident per day North Carolina average: 3.87
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The North Carolina average is 4.6.
Last standard inspection Aug 6, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
16 citations in 3 months of the last 36. Last cited Aug 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 16 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 3 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 6, 2026: standard inspection4 citations
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Ensure each resident receives an accurate assessment.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Post nurse staffing information every day.
May 5, 2025: standard inspection2 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure that residents are free from significant medication errors.
Apr 4, 2024: standard inspection7 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide or obtain dental services for each resident.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Apr 4, 2024: standard and complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 7, 2004.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 80 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 3 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.18 nurse hours per resident per day
The North Carolina average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | North Carolina average |
|---|---|---|
| Nurse hours per resident per day | 3.18 | 3.87 |
| Of which registered nurses | 0.33 | 0.62 |
| At weekends | 2.90 | 3.40 |
| Nursing staff turnover | 61.6% | 48.7% |
| Registered nurse turnover | 72.7% | 45.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Liberty Commons Nursing and Rehabilitation Center of Lee County, LLC owns an unstated share directly since Jul 1, 2005; Liberty Long Term Care LLC owns an unstated share directly since Jul 1, 2005.
- 15 owners or officers are people: Ronald Benjamin Mcneill (owns a share through other companies, 26%); Jeffrey S. Wilson (corporate officer); Jeffrey S. Wilson (corporate director); Jeffrey S. Wilson (additional disclosable party (controls, leases property to, or provides services to the home)); John Albert Mcneill (owns 5% or more directly); John Albert Mcneill (corporate director); Joseph V Calcutt (corporate officer); Joseph V Calcutt (additional disclosable party (controls, leases property to, or provides services to the home)); William Watson (runs it (operational or managerial control)); Robert B Miller (corporate director); Robert B Miller (additional disclosable party (controls, leases property to, or provides services to the home)); Ronald Benjamin Mcneill (owns 5% or more directly); Ronald Benjamin Mcneill (corporate officer); Leann R Simpson Tarokh (runs it (operational or managerial control)); Leann R Simpson Tarokh (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Liberty Senior Living (37 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Liberty Healthcare Group LLC | Owns a share through other companies | 100% | Jun 6, 2025 |
| Ronald B. and Cynthia J. Mcneill 2013 Irrevocable Trust | Owns a share through other companies | 24% | Jun 6, 2025 |
| John A Mcneill Jr 2012 Irrv Tr | Owns a share through other companies | 24% | Jun 6, 2025 |
| Liberty Commons Nursing and Rehabilitation Center of Lee County, LLC | Owns 5% or more directly | Jul 1, 2005 | |
| Liberty Healthcare Management Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 6, 2025 | |
| Liberty Long Term Care LLC | Owns 5% or more directly | Jul 1, 2005 | |
| Long Term Care Management Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 6, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (North Carolina average 3.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 25.2 miles, this one had the 5th most health citations at the latest inspection cycle (4; the middle value was 3.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Liberty Commons Nursing and Rehabilitation Center This nursing home | 4 | |
| Westfield Rehabilitation and Health Center | 3.8 | 1 |
| Sanford Health & Rehabilitation Co | 10.2 | 4 |
| Peak Resources - Pinelake | 17.5 | 2 |
| Emerald Health & Rehab Center | 17.6 | 5 |
| Lillington Health and Rehabilitation Center | 20.0 | 3 |
| The Laurels of Chatham | 20.7 | 7 |
| Windsor Point Continuing Care | 22.0 | 0 |
| Penick Village | 22.4 | 3 |
| Fuquay-Varina Health and Rehabilitation Center | 22.6 | 10 |
| The Greens at Pinehurst Rehabilitation & Living Ce | 24.3 | 9 |
| Saint Joseph of the Pines Health Center | 25.2 | 2 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.