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Capital Nursing and Rehabilitation Center

3000 Holston Lane, Raleigh, NC 27610 · Wake County · (919) 231-6045

125 certified beds, about 101 residents a day · For profit - Corporation · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345202 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 14 health citations since March 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.40 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

36.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Liberty Senior Living, an affiliated group of 37 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
0E
0F
Potential for minimal harm
0A
4B
0C
August 7, 2025Standard inspection · 4 citations
  1. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2025
    Inspectors wroteBased on record review, and staff and Consultant Pharmacist interviews, the facility failed to ensure a physician order for an as needed (PRN) psychotropic medication was time limited in duration for 1 of 5 residents reviewed for unnecessary medications (Resident #90).
  2. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2025
    Inspectors wroteBased on observation, record review, and resident and staff interviews, the facility failed to consistently complete a thorough weekly pressure ulcer assessment that included the type of injury (pressure versus non pressure), pressure ulcer stage, a description of the pressure ulcer characteristics, presence of pain, and description of dressing or treatment for 1 of 2 residents observed for pressure ulcers (Resident #3).
  3. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2025
    Inspectors wroteBased on record review, and staff and Consultant Pharmacist interviews, the facility failed to complete an Abnormal Involuntary Movement Scale (AIMS) assessment for a resident receiving an antipsychotic medication, which is used for medication monitoring of side effects of antipsychotic medications for 1 of 5 residents reviewed for unnecessary medications (Resident #82).
  4. B
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · no revisit needed August 31, 2025
    Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to accurately transcribe wound treatment orders for 1 of 2 residents reviewed for wound care (Resident #1).
June 25, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, record review, and resident, staff, family, and physician (MD) interviews, the facility failed to provide care in a safe manner when Resident #3, who was positioned onto her right side at the edge of her bed and was left unattended by MD #1 during wound care. Resident #3 fell from her bed and required transfer to the hospital for medical evaluation. This was for 1 of 3 residents (Resident #3) reviewed for accidents.
September 16, 2024Complaint inspection · 1 citation
  1. B
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · deficient, provider has October 24, 2024
    Inspectors wroteBased on observation, staff and resident interviews, the facility failed to ensure the caulking around the base of the toilets (room [ROOM NUMBER], #211, #308, #310, and #408) was adhered and free of black/brown matter. The facility also failed to ensure a baseboard in the bathroom (room [ROOM NUMBER]) was free of black/brown matter for 5 of 9 bathrooms reviewed for clean and homelike living environment.
July 18, 2024Standard inspection, Complaint inspection · 5 citations
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on record review, and staff interviews, the facility failed to revise the care plan in the areas of behaviors (Resident #13) and hospice services (Resident #14) for 2 of 21 residents reviewed for care plan revision.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on record review, staff interviews, Wound Provider interview, Nurse Practitioner interview, and Medical Director interview, the facility failed to obtain a treatment order prior to treating a wound for 1 of 4 residents reviewed for professional standards of practice (Resident #251).
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on record review, observations, staff interviews, and interview with the Wound Care Physician the facility failed to transcribe Physician treatment orders and failed to implement the Wound Care Doctors orders as ordered for one (Resident #38) of three residents reviewed for pressure ulcers.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on record review, staff interviews, Nurse Practitioner interview, Medical Director interview, and Poison Control interview, the facility failed to provide a hazard free environment to prevent an avoidable accident when a resident with severe cognitive impairment (Resident #13) ingested an unknown amount of nontoxic liquid perineal and skin cleanser that was left within the resident's reach for 1 of 4 residents reviewed for supervision to prevent accidents (Resident #13).
  5. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 16, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to document wound treatment orders for 1 of 4 residents reviewed for medical record accuracy (Resident #251).
March 9, 2023Standard inspection · 3 citations
  1. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 18, 2023
    Inspectors wroteBased on record review, observations and staff interviews, the facility failed to administer enteral feeding formula at the correct rate as ordered by the physician for 1 of 1 resident (Resident #4) reviewed for enteral feedings.
  2. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · deficient, provider has March 25, 2023
    Inspectors wroteBased on record review, resident interview, and staff interviews the facility failed to provide written notice of discharge to the resident and the resident's representative for residents who were transferred to the hospital and notification to the ombudsman (Resident #48) and failed to provide written notice of discharge to the resident or the resident's representatives (Resident # 63 and Resident #30) for 3 of 3 residents reviewed for facility-initiated discharge.
  3. B
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for minimal harm, pattern · deficient, provider has March 25, 2023
    Inspectors wroteBased on record review and staff interview the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor interventions that the committee had previously put in place following the recertification and complaint survey of 7/1/21. The deficiency is in the area of Notification of Discharge (623). The continued failure during two federal surveys of record showed a pattern of the facility's inability to sustain an effective Quality Assurance Program.

Fire safety inspections

5 fire safety citations on file: 3 on July 18, 2024, 2 on March 9, 2023.

Every fire safety citation5 citations
  1. D
    Install corridor and hallway doors that block smoke.
    K 363 · July 18, 2024 · Corrected (the home has a date of correction)
  2. D
    Have restrictions on the use of portable space heaters.
    K 781 · July 18, 2024 · Corrected (the home has a date of correction)
  3. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 18, 2024 · Corrected (the home has a date of correction)
  4. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 9, 2023 · Corrected (the home has a date of correction)
  5. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 9, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.403.853.86
Registered nurses0.380.620.69
All nursing staff on weekends3.053.423.42
Nurse aides2.08
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)36.5%49.0%45.8%
Registered nurse turnover33.3%45.6%42.9%
Administrators who left0

CMS expects 3.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.54 on weekdays and 3.05 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.383.543.05 0.0%0 of 90101
Oct to Dec 20253.300.423.432.99 0.0%0 of 92100
Jul to Sep 20253.400.473.543.04 0.0%0 of 92100
Apr to Jun 20253.330.393.453.03 1.6%0 of 91100
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.215.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.02.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.11.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.918.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.45.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.814.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.422.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.912.912.0

Owners and operators

Legal business name: LIBERTY HEALTHCARE GROUP LLC. CMS links this home to Liberty Senior Living, a group of 37 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Liberty Commons Nursing and Rehabilitation Center of Wake County, LLC5% or greater direct ownership interestOrganization10/01/2005
McNeill, John5% or greater direct ownership interestIndividual10/01/2005
McNeill, Ronald5% or greater direct ownership interestIndividual10/01/2005
John a McNeill Jr 2012 Irrv TrIndirect ownership interestOrganization04/29/2025
Liberty Healthcare Group LLCIndirect ownership interestOrganization04/29/2025
McNeill, JohnCorporate directorIndividual12/15/2005
McNeill, RobertCorporate directorIndividual09/01/2024
McNeill, RonaldCorporate directorIndividual12/15/2005
Miller, RobertCorporate directorIndividual09/01/2024
Wilson, JeffreyCorporate directorIndividual05/18/2011
Calcutt, JosephCorporate officerIndividual04/29/2025
Liberty Healthcare Management IncOperational/managerial controlOrganization04/29/2025
Ayers, TracyOperational/managerial controlIndividual04/01/2025
Moore, AmandaOperational/managerial controlIndividual04/01/2025
Wilson, JeffreyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual11/04/2025
McNeill, RobertTrustee of the SNFIndividual04/29/2025
Oliver, AnnaTrustee of the SNFIndividual04/29/2025
Purvis, JennyTrustee of the SNFIndividual04/29/2025
Liberty Healthcare Group LLCAdp of the SNFOrganization07/22/2025
Liberty Healthcare Management IncAdp of the SNFOrganization04/29/2025
Long Term Care Management Services LLCAdp of the SNFOrganization04/01/2025
Ayers, TracyAdp of the SNFIndividual10/09/2025
Calcutt, JosephAdp of the SNFIndividual04/29/2025
Miller, RobertAdp of the SNFIndividual04/29/2025
Moore, AmandaAdp of the SNFIndividual10/09/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on August 7, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 7, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on September 16, 2024: "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."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.05 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is Capital Nursing and Rehabilitation Center's Medicare star rating?
CMS rates Capital Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Capital Nursing and Rehabilitation Center get at its last inspection?
4 health deficiencies at the standard inspection on August 7, 2025. The North Carolina average is 4.7.
Has Capital Nursing and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Capital Nursing and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Capital Nursing and Rehabilitation Center?
CMS lists 25 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY HEALTHCARE GROUP LLC.

Sources

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