Elizabethtown Healthcare & Rehab Center
208 Mercer Mill Road, Elizabethtown, NC 28337
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Follow this homeElizabethtown Healthcare & Rehab Center is a nursing home in Elizabethtown, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating3 of 5
- Last standard health inspectionSeptember 16, 2025 (1 year ago)
- Health citations since September 26, 20246 (North Carolina average 18)
- Fines in the past three years1, $8,788 in total
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of April 29, 2026
Fine
CMS changed the fine from September 16, 2025 from $13,520 to $8,788.
CMS update of December 15, 2025
Name
CMS lists a new legal business name for this home.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on September 16, 2025
4 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
69 of 419 North Carolina homes (16%) got a citation at the actual harm level in 2025.
CMS fine of $8,788 on September 16, 2025.
Show the 4 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 9, 2025.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on September 17, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 17, 2025.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on September 17, 2025.
Health inspection on September 26, 2024
2 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 2 citations
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on September 13, 2024.
Citation F0584. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on October 26, 2024.
Fire safety inspection on September 26, 2024
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 7, 2024.
Citation K0521. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 7, 2024.
Citation K0918. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on December 7, 2024.
CMS has cited this home for K0918 2 times since 2022.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 7, 2024.
Citation K0344. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have an alternate power supply for its alarm system.
CMS lists it as corrected on December 7, 2024.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 7, 2024.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 7, 2024.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 7, 2024.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on December 7, 2024.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Fire safety inspection on June 22, 2023
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on August 29, 2023.
Fire safety inspection on March 3, 2022
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on March 30, 2022.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (910) 862-8181
- Last standard health inspection
- September 16, 2025 (1 year ago)
- Certified beds
- 94
- Residents per day, on average
- 90.4
- Ownership type
- For profit - Corporation
- Legal business name
- Liberty Healthcare Group LLC
- Chain
- Liberty Senior Living
- Takes part in
- Medicare and Medicaid
Fewer health citations than the North Carolina average (6 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LIBERTY LONG TERM CARE LLCDirect ownership interest · not applicable · since 03/31/2025
- JOHN A MCNEILL JR 2012 IRRV TRIndirect ownership interest · not applicable · since 03/31/2025
- LIBERTY HEALTHCARE GROUP LLCIndirect ownership interest · not applicable · since 03/31/2025
- RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 03/31/2025
- MCNEILL, JOHNIndirect ownership interest · not applicable · since 03/31/2025
Show 6 more
- MCNEILL, RONALDIndirect ownership interest · not applicable · since 03/31/2025
- BARROW, LORIOperational/managerial control · not applicable · since 03/31/2025
- CALCUTT, JOSEPHOperational/managerial control · not applicable · since 03/31/2025
- CAQUIAS GONZALEZ, EILEENOperational/managerial control · not applicable · since 03/03/2025
- MILLER, ROBERTOperational/managerial control · not applicable · since 03/31/2025
- WILSON, JEFFREYOperational/managerial control · not applicable · since 03/31/2025
Questions
When was Elizabethtown Healthcare & Rehab Center last inspected?
CMS lists September 16, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Elizabethtown Healthcare & Rehab Center have?
CMS lists 6 health citations since September 26, 2024. CMS also calls these deficiencies.
Has Elizabethtown Healthcare & Rehab Center been fined?
CMS lists 1 fine in the past three years, $8,788 in total.
What is the CMS star rating of Elizabethtown Healthcare & Rehab Center?
Its CMS overall star rating is 3 of 5.
Is Elizabethtown Healthcare & Rehab Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.