Liberty Commons Rehabilitation Center

121 Racine Drive
Wilmington, NC, 28403
9104524070
CCN: 345468
2
Overall
2
Health
2
Staffing
4
Quality
ChainLIBERTY SENIOR LIVING
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ACTIVE LIVING CENTER, INC
1128a1
Excluded 1997-04-15
MEMORIAL NURSING CENTERS, INC
1128b7
Excluded 1980-10-07
ST JAMES NURSING CENTER, INC
1128a1
Excluded 1994-03-31
Ownership
NameRole%
MCNEILL, JOHN5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MCNEILL, RONALD5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
MCNEILL, JOHNCORPORATE DIRECTORNOT APPLICABLE
MCNEILL, RONALDCORPORATE DIRECTORNOT APPLICABLE
PURIFOY, PENNYCORPORATE DIRECTORNOT APPLICABLE
LIBERTY HEALTHCARE MANAGEMENT INCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BORK, MATTHEWOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CALCUTT, JOESEPH VOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HAMRIC, ANTHONYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILSON, JEFFREYW-2 MANAGING EMPLOYEENOT APPLICABLE
DUFF, CHARLESW-2 MANAGING EMPLOYEENOT APPLICABLE
CALCUTT, JOESEPH VW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (3)
DateTypeAmount
2025-01-22Fine$10K
2023-11-02Fine$11K
2023-11-02Payment Denial14 days
Health Deficiencies (22)
2025-03-12 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-01-22 · Health
G
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
B
F584 · Resident Rights Deficiencies
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.
2023-11-02 · Health
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
F849 · Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F761 · Pharmacy Service Deficiencies
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.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
E
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2022-07-15 · Health
G
F888 · Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
D
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
F886 · Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
G
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
B
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
B
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
J
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.27
3.68
RN Hrs/Resident/Day
0.51
0.54
LPN Hrs/Resident/Day
0.90
0.81
CNA Hrs/Resident/Day
1.85
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01