Liberty Commons Nursing & Rehab Center of SouthporCMS ratings, inspections and fines
- Address
- 630 Fodale Avenue, Southport, NC 28461
- CCN
- 345373
- Ownership type
- For-profit, limited liability company
- Certified beds
- 99
- Residents per day
- 79
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Liberty Commons Nursing & Rehab Center of Southpor an overall rating of 3 of 5 stars. The last standard survey was on 1 May 2025. The latest survey cycle has 6 health citations. The median for nursing homes in North Carolina is 3. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Brunswick County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 2.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 1 May 2025 | 6 | 3 |
| Cycle 2 | 7 Mar 2024 | 7 | 5 |
| Cycle 3 | No date | 18 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Nov 2025 |
| 1 May 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 May 2025 |
| 1 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 May 2025 |
| 1 May 2025 | F0727 | 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. | D | Standard survey | 21 May 2025 |
| 1 May 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 21 May 2025 |
| 1 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 May 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0761 | 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. | D | Standard survey | 29 Mar 2024 |
| 7 Mar 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 29 Mar 2024 |
Survey cycle 3: 18 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Standard survey | 23 Dec 2022 |
| 21 Nov 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | Standard survey | 22 Dec 2022 |
| 21 Nov 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Standard survey | 22 Dec 2022 |
| 21 Nov 2022 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0761 | 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. | E | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0803 | 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. | F | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Jan 2023 |
| 21 Nov 2022 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 5 Jan 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.58 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.68 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.96 | 0.89 | |
| Nurse aides | 1.95 | 2.34 | |
| All nurse staff, weekends | 3.34 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.6% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.2% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.1% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Liberty Healthcare Group LLC
- Chain
- Liberty Senior Living (37 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Long Term Care Management Services LLC | 5% or greater direct ownership interest | 100% | 10 Mar 2011 |
| Liberty Long Term Care LLC | Direct ownership interest | 1 Apr 2025 | |
| Liberty Healthcare Group LLC | Indirect ownership interest | 29 Apr 2025 | |
| Ocean Trail Convalescent Center Inc. | Indirect ownership interest | 29 Apr 2025 | |
| Long Term Care Management Services LLC | Operational/managerial control | 29 Apr 2025 | |
| Liberty Healthcare Group LLC | Adp of the snf | 30 May 2025 | |
| Liberty Healthcare Management Inc | Adp of the snf | 29 Apr 2025 | |
| Liberty Long Term Care LLC | Adp of the snf | 27 May 2025 | |
| Long Term Care Management Services LLC | Adp of the snf | 29 Apr 2025 | |
| Ocean Trail Convalescent Center Inc. | Adp of the snf | 29 Apr 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Brunswick County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Brunswick Rehabilitation and Healthcare Center | Bolivia | 1 of 5 | 9 | $94,140 | 5 May 2026 | |
| Brunswick Cove Nursing Center | Winnabow | 2 of 5 | 7 | $70,913 | 4 Dec 2025 | |
| Autumn Care of Shallotte | Shallotte | 2 of 5 | 5 | $25,595 | 25 Jul 2025 | |
| Brunswick Health & Rehab Center | Ash | 1 of 5 | 7 | $229,685 | 9 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Liberty Commons Nursing & Rehab Center of Southpor (CCN 345373). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/liberty-commons-nursing-rehab-center-of-southpor-southport-nc-345373/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Liberty Commons Nursing & Rehab Center of Southpor last inspected?
- The latest inspection with a citation in the CMS record was on 19 Nov 2025. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 7 Mar 2024.
- Who operates Liberty Commons Nursing & Rehab Center of Southpor?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Liberty Senior Living. The CMS ownership file names Long Term Care Management Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Liberty Commons Nursing & Rehab Center of Southpor a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.