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Elizabethtown Healthcare & Rehab Center

208 Mercer Mill Road, Elizabethtown, NC 28337 · Bladen County · (910) 862-8181

94 certified beds, about 89 residents a day · For profit - Corporation · Medicare and Medicaid since 1981

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345210 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 16, 2025, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 6 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,788 in the last three years; the largest was $8,788, and the latest is dated September 16, 2025.

Nurses and nurse aides worked 3.34 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

48.8% 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 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
1B
0C
September 16, 2025Standard inspection · 4 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, record review, and staff, Nurse Practitioner and the Medical Director's interviews, the facility failed to use the mechanical lift to transfer a non-weight bearing resident from a chair to the bed and instead used the stand and pivot method for transferring (A technique for moving where a resident stands with assistance and pivots on their feet then sits. This technique requires the ability to bear most of their body weight.) which resulted in a comminuted (the bone is broken into multiple small pieces) mildly displaced (bone fragments are slightly out of alignment) fracture of the distal tibia (large bone of the lower leg near the ankle) and proximal fibula (upper section of smaller bone in the lower leg just below the knee). This occurred for 1 of 3 residents reviewed for accidents (Resident #77).
  2. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on observations, and staff interviews the facility failed to discard expired nutritional supplements stored for use in 1 of 1 reach-in refrigerator in the kitchen. This practice had the potential to affect residents with physician ordered nutritional supplements.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to follow their infection control policy and procedures for Enhanced Barrier Precautions (EHB) during high contact care for a resident with a pressure ulcer, when a nurse and the Wound Aide were providing wound care without wearing gowns for 2 of 6 staff observed for infection control (Nurse #1 and the Wound Aide).
  4. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2025
    Inspectors wroteBased on observations, and resident and staff interviews, the facility failed to ensure the bedside call light system was functioning and provide an alternate means of communicating with staff for 2 of 2 residents who were dependent on staff for assistance with activities of daily living (ADL) (Resident #59, and Resident #20).
September 26, 2024Standard inspection, Complaint inspection · 2 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · 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 record review and staff interviews, the facility failed to implement their abuse policy for staff to promptly report an allegation of staff to resident abuse to the facility management as soon as the allegation was communicated to the staff member. This occurred for 1 of 2 residents (Resident #21) reviewed for abuse.
  2. 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 26, 2024
    Inspectors wroteBased on observations, resident and staff interviews the facility a. failed to repair broken floor linoleum in resident rooms (215), b. failed to remove the black substance and caulk commode bases in resident rooms (100, 104, 209, 212, 301, and 403), c. failed to repair a broken free standing clothes cabinet door or handles in resident rooms (107B, 211B, and 304) d. failed to replace broken or missing bathroom door threshold strip in resident rooms (104, 106, 111, 113, 201, 203, 207, 209, 211, 211, 215, 307, and 308), e. failed to replace broken metal bathroom shelf in resident room (412), f. failed to repair resident's overhead light covers in room (100B and 108A, B, C), g. failed to replace broken window blinds in resident rooms (105 and 212), h. failed to clean and replace residents window air conditioner vent in resident rooms (406B, and 412B), i. [...]
June 22, 2023Standard inspection · 0 citations

Fire safety inspections

11 fire safety citations on file: 9 on September 26, 2024, 1 on June 22, 2023, 1 on March 3, 2022.

Every fire safety citation11 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 26, 2024 · Corrected (the home has a date of correction)
  2. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 26, 2024 · Corrected (the home has a date of correction)
  3. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 26, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · September 26, 2024 · Corrected (the home has a date of correction)
  5. D
    Have an alternate power supply for its alarm system.
    K 344 · September 26, 2024 · Corrected (the home has a date of correction)
  6. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 26, 2024 · Corrected (the home has a date of correction)
  7. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 26, 2024 · Corrected (the home has a date of correction)
  8. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 26, 2024 · Corrected (the home has a date of correction)
  9. D
    Have proper medical gas storage and administration areas.
    K 923 · September 26, 2024 · Corrected (the home has a date of correction)
  10. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 22, 2023 · Corrected (the home has a date of correction)
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 3, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
September 16, 2025Fine $8,788

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.343.853.86
Registered nurses0.610.620.69
All nursing staff on weekends3.023.423.42
Nurse aides2.32
Licensed practical nurses0.41
Nursing staff turnover (share who left in a year)48.8%49.0%45.8%
Registered nurse turnover20.0%45.6%42.9%
Administrators who left0

CMS expects 3.95 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 3.47 on weekdays and 3.02 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.52 in April to June 2025 to 3.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.340.613.473.02 10.8%0 of 9089
Oct to Dec 20253.510.613.643.18 10.8%0 of 9285
Jul to Sep 20253.670.603.823.31 18.6%0 of 9283
Apr to Jun 20253.520.473.663.16 18.4%0 of 9182
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
17.715.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.60.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.82.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.73.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.918.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.55.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
3.914.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.422.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.012.912.0

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 Long Term Care LLCDirect ownership interestOrganization03/31/2025
John a McNeill Jr 2012 Irrv TrIndirect ownership interestOrganization03/31/2025
Liberty Healthcare Group LLCIndirect ownership interestOrganization03/31/2025
Ronald B. and Cynthia J. McNeill 2013 Irrevocable TrustIndirect ownership interestOrganization03/31/2025
McNeill, JohnIndirect ownership interestIndividual03/31/2025
McNeill, RonaldIndirect ownership interestIndividual03/31/2025
Barrow, LoriOperational/managerial controlIndividual03/31/2025
Calcutt, JosephOperational/managerial controlIndividual03/31/2025
Caquias Gonzalez, EileenOperational/managerial controlIndividual03/03/2025
Miller, RobertOperational/managerial controlIndividual03/31/2025
Wilson, JeffreyOperational/managerial controlIndividual03/31/2025
McNeill, RobertTrustee of the SNFIndividual03/31/2025
Oliver, AnnaTrustee of the SNFIndividual03/31/2025
Purvis, JennyTrustee of the SNFIndividual03/31/2025
John a McNeill Jr 2014 Irrevocable TrustAdp of the SNFOrganization03/31/2025
Liberty Healthcare Management IncAdp of the SNFOrganization03/31/2025
Liberty Healthcare Properties of Bladen County,llcAdp of the SNFOrganization03/31/2025
Liberty Real Properties II LLCAdp of the SNFOrganization03/31/2025
Long Term Care Management Services LLCAdp of the SNFOrganization03/31/2025
Ronald B and Cynthia J McNeil 2014 Irrevocable TrustAdp of the SNFOrganization03/31/2025
Barrow, LoriAdp of the SNFIndividual04/02/2025
Calcutt, JosephAdp of the SNFIndividual03/31/2025
Caquias Gonzalez, EileenAdp of the SNFIndividual04/02/2025
McNeill, JohnAdp of the SNFIndividual03/31/2025
McNeill, RonaldAdp of the SNFIndividual03/31/2025
Miller, RobertAdp of the SNFIndividual03/31/2025
Wilson, JeffreyAdp of the SNFIndividual03/31/2025

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 1 problem in this area, most recently on September 16, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 16, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 16, 2025: "Provide and implement an infection prevention and control program."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on September 16, 2025: "Make sure that a working call system is available in each resident's bathroom and bathing area."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 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 Elizabethtown Healthcare & Rehab Center's Medicare star rating?
CMS rates Elizabethtown Healthcare & Rehab Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Elizabethtown Healthcare & Rehab Center get at its last inspection?
4 health deficiencies at the standard inspection on September 16, 2025. The North Carolina average is 4.7.
Has Elizabethtown Healthcare & Rehab Center been fined?
Yes. CMS lists 1 fine totaling $8,788 in the last three years.
Does Elizabethtown Healthcare & Rehab 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 Elizabethtown Healthcare & Rehab Center?
CMS lists 27 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY HEALTHCARE GROUP LLC.

Sources

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