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Liberty Commons Nursing & Rehabilitation Center of

791 Boone Station Drive, Burlington, NC 27215 · Alamance County · (336) 586-9850

122 certified beds, about 113 residents a day · For profit - Corporation · Medicare and Medicaid since 1999

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345496 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 8, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 6 health citations since June 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 3.56 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

71.2% 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
0G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
2B
0C
January 8, 2026Standard inspection, Complaint inspection · 2 citations
  1. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 17, 2026
    Inspectors wroteBased on observations, manufacturer instructions, and staff interviews, the facility failed to date open multi-dose vials of insulin on the 300 hall medication cart, failed to date multi-dose vials of semaglutide (glucagon-like peptide-1 (GLP-1) receptor agonist medication used for managing type 2 diabetes and promoting weight loss) on the 100 hall and 300 hall medication carts, and failed to discard expired a bottle of proton pump inhibitor tablets on the 300 hall medication cart. The failure to date multi dose vials of medication or dispose of expired medication was discovered in 2 of 3 medication carts reviewed for medication storage (100 hall and 300 hall medication carts). Findings Included: 1. On 1/6/26 at 8:05 AM, an observation of the 100-hall medication cart with Nurse #2 revealed one (1) open and undated multi-dose vial of semaglutide. [...]
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · 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 and detective interviews, the facility failed to protect the resident's right to be free from misappropriation of resident's property, when Resident # 123's responsible party (RP) observed a payment to a staff member on the resident's bank statement. On 3/10/25 the resident's RP observed a payment of $372.94 on the resident's bank statement to an unknown account related to the admission Director. This occurred for 1 of 1 resident reviewed for misappropriation of property (Resident #123).
September 27, 2024Standard inspection · 4 citations
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 10, 2024
    Inspectors wroteBased on staff interviews and record review, the facility failed to have accurate advanced directive documentation throughout the medical record for 1 of 6 residents reviewed for advanced directives (Resident #51).
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 10, 2024
    Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to post cautionary signage outside the resident's room to indicate supplemental oxygen (O2) was in use for 2 of 3 residents reviewed for respiratory care (Resident #63 and Resident #24).
  3. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has October 10, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the discharge status on the discharge Minimum Data Set (MDS) assessment and oxygen therapy on the admission MDS assessment for 2 of 23 residents reviewed for MDS assessment accuracy. (Resident #97 and Resident #24).
  4. B
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has October 10, 2024
    Inspectors wroteBased on record review, resident interview, family interview, and staff interviews, the facility failed to provide the resident and their representative with a summary of the baseline care plan for 2 of 2 residents reviewed for care plans. (Resident #51 and Resident #248)
June 8, 2023Standard inspection · 0 citations

Fire safety inspections

8 fire safety citations on file: 2 on September 27, 2024, 6 on June 8, 2023.

Every fire safety citation8 citations
  1. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 27, 2024 · Corrected (the home has a date of correction)
  2. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 27, 2024 · Corrected (the home has a date of correction)
  3. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · June 8, 2023 · Corrected (the home has a date of correction)
  4. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 8, 2023 · Corrected (the home has a date of correction)
  5. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · June 8, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 8, 2023 · Corrected (the home has a date of correction)
  7. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 8, 2023 · Corrected (the home has a date of correction)
  8. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · June 8, 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)3.563.853.86
Registered nurses0.340.620.69
All nursing staff on weekends3.243.423.42
Nurse aides2.25
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)71.2%49.0%45.8%
Registered nurse turnover92.3%45.6%42.9%
Administrators who left2

CMS expects 3.36 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 3.69 on weekdays and 3.24 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.56 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.560.343.693.24 26.0%0 of 90113
Oct to Dec 20253.460.283.553.21 16.6%0 of 92116
Jul to Sep 20254.110.234.273.70 14.0%0 of 92113
Apr to Jun 20253.780.253.953.37 21.9%1 of 91108
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
11.715.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.42.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.53.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.118.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.75.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
23.214.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.622.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
23.512.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Liberty Commons Nursing & Rehabilitation Center of's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

50.3% this home

No different from the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 141 eligible stays.

Potentially preventable readmissions

9.4% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 131 eligible stays.

Infections that led to a hospital stay

5.9% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 88 eligible stays.

Self-care and mobility at discharge

48.2% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 56 residents counted.

Falls with major injury

0.0% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 70 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 70 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 7 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

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 Alamance County,5% or greater direct ownership interestOrganization10/01/2002
Long Term Care Management Services LLC5% or greater direct ownership interestOrganization100%03/10/2011
Newman, JamesW-2 managing employeeIndividual09/17/2018
McNeill, JohnCorporate directorIndividual12/15/2005
Wilson, JeffreyCorporate directorIndividual01/01/2007
Liberty Healthcare Management IncOperational/managerial controlOrganization10/01/2002
Long Term Care Management Services LLCOperational/managerial controlOrganization03/10/2011
Calcutt, JosephOperational/managerial controlIndividual03/10/2011
Hamric, AnthonyOperational/managerial controlIndividual01/24/2005
McNeill, JohnOperational/managerial controlIndividual03/10/2011
McNeill, RonaldOperational/managerial controlIndividual03/10/2011
Purifoy, PennyOperational/managerial controlIndividual03/10/2011
Wilson, JeffreyOperational/managerial controlIndividual03/10/2011

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. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 27, 2024: "Ensure each resident receives an accurate assessment."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on January 8, 2026: "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."
  3. 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 January 8, 2026: "Protect each resident from the wrongful use of the resident's belongings or money."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on September 27, 2024: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the North Carolina average of 3.42.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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 Liberty Commons Nursing & Rehabilitation Center of's Medicare star rating?
CMS rates Liberty Commons Nursing & Rehabilitation Center of 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Liberty Commons Nursing & Rehabilitation Center of get at its last inspection?
2 health deficiencies at the standard inspection on January 8, 2026. The North Carolina average is 4.7.
Has Liberty Commons Nursing & Rehabilitation Center of been fined?
CMS lists no fines in the last three years.
Does Liberty Commons Nursing & Rehabilitation Center of 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 Liberty Commons Nursing & Rehabilitation Center of?
CMS lists 13 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY HEALTHCARE GROUP LLC.

Sources

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