Liberty Commons Nursing & Rehab Center of Southpor
630 Fodale Avenue, Southport, NC 28461
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Follow this homeLiberty Commons Nursing & Rehab Center of Southpor is a nursing home in Southport, 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 inspectionAugust 13, 2026 (2 months ago)
- Health citations since March 7, 202420 (North Carolina average 18)
- Fines in the past three yearsNone listed by CMS
- 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 October 28, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Health inspection on August 13, 2026
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0847. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
The home is disputing this citation through CMS's informal review.
CMS lists it as corrected on September 10, 2026.
Citation F0880. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on September 10, 2026.
CMS has cited this home for F0880 2 times since 2025.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on September 10, 2026.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on September 10, 2026.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on September 10, 2026.
Citation F0698. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on September 10, 2026.
Citation F0699. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care or services that was trauma informed and/or culturally competent.
CMS lists it as corrected on September 10, 2026.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of April 29, 2026
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
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 2 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 2 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 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Name
CMS lists a new name for this home. It was LIBERTY COMMONS NRSG & REHAB CNTR OF SOUTHPORT LLC.
Fine
CMS changed the fine from November 21, 2022 from $11,941 to $3,250.
Health inspection on November 19, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on November 25, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from not rated by CMS to 4 of 5.
Health inspection on May 1, 2025
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on May 21, 2025.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on May 21, 2025.
Citation F0727. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on May 21, 2025.
Citation F0770. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely, quality laboratory services/tests to meet the needs of residents.
CMS lists it as corrected on May 21, 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 May 21, 2025.
Fire safety inspection on May 1, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 12, 2025.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on July 12, 2025.
Citation K0914. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on July 12, 2025.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to not rated by CMS.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 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.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 2 of 5.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on March 7, 2024
7 citationsCMS lists this as a standard inspection.
Show the 7 citations
Citation F0561. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on March 29, 2024.
Citation F0757. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on March 29, 2024.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on March 29, 2024.
Citation F0867. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 29, 2024.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on March 29, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 29, 2024.
Citation F0636. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on March 29, 2024.
Fire safety inspection on March 7, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0916. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a battery powered remote alarm panel in a location accessible by operating personnel.
CMS lists it as corrected on May 17, 2024.
Citation K0200. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on May 17, 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 May 17, 2024.
Fire safety inspection on November 21, 2022
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on February 4, 2023.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on February 4, 2023.
CMS star ratings
- 3 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (910) 457-9581
- Last standard health inspection
- August 13, 2026 (2 months ago)
- Certified beds
- 99
- Residents per day, on average
- 79.7
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Liberty Healthcare Group LLC
- Chain
- Liberty Senior Living
- Takes part in
- Medicare and Medicaid
More health citations than the North Carolina average (20 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- LONG TERM CARE MANAGEMENT SERVICES LLC5% or greater direct ownership interest · 100% · since 03/10/2011
- LIBERTY LONG TERM CARE LLCDirect ownership interest · not applicable · since 04/01/2025
- JOHN A MCNEILL JR 2012 IRRV TRIndirect ownership interest · not applicable · since 04/29/2025
- LIBERTY HEALTHCARE GROUP LLCIndirect ownership interest · not applicable · since 04/29/2025
- OCEAN TRAIL CONVALESCENT CENTER INC.Indirect ownership interest · not applicable · since 04/29/2025
Show 8 more
- MCNEILL, JOHNIndirect ownership interest · not applicable · since 04/29/2025
- LONG TERM CARE MANAGEMENT SERVICES LLCOperational/managerial control · not applicable · since 04/29/2025
- CALCUTT, JOSEPHOperational/managerial control · not applicable · since 03/10/2011
- MCNEILL, JOHNOperational/managerial control · not applicable · since 04/29/2025
- MCNEILL, RONALDOperational/managerial control · not applicable · since 04/29/2025
- PETERS, DANIELLEOperational/managerial control · not applicable · since 04/29/2025
- PETERSON, GAJARAHOperational/managerial control · not applicable · since 04/29/2025
- WILSON, JEFFREYOperational/managerial control · not applicable · since 04/29/2025
Questions
When was Liberty Commons Nursing & Rehab Center of Southpor last inspected?
CMS lists August 13, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Liberty Commons Nursing & Rehab Center of Southpor have?
CMS lists 20 health citations since March 7, 2024. CMS also calls these deficiencies.
Has Liberty Commons Nursing & Rehab Center of Southpor been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Liberty Commons Nursing & Rehab Center of Southpor?
Its CMS overall star rating is 3 of 5.
Is Liberty Commons Nursing & Rehab Center of Southpor a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.