Home / North Carolina / Sanford
Westfield Rehabilitation and Health Center
3100 Tramway Road, Sanford, NC 27330 · Lee County · (919) 775-5404
83 certified beds, about 79 residents a day · For profit - Corporation · Medicare and Medicaid since 1981
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 345216 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 21, 2025, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 12 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,278 in the last three years; the largest was $8,278, and the latest is dated August 21, 2025.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
48.6% 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.
903/23
208/24
108/25
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
4E
0F
Potential for minimal harm
0A
1B
0C
August 21, 2025Standard inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review, and resident interview and staff interviews, the facility failed to perform a transfer from the bed to wheelchair in a safe manner for 1 of 3 residents reviewed for accidents (Resident #26). Resident #26 had pain and sustained a skin tear (laceration) to midline shin (the front of the leg below the knee) with significant depth to left lower leg which required a visit to the emergency department and sutures.
August 23, 2024Standard inspection, Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, and staff and Medical Director (MD) interviews, the facility failed to notify the MD when a stage three pressure ulcer was identified for 1 of 1 resident reviewed for pressure ulcer (Resident #71). Findings Included: Resident #71 was admitted to the facility on [DATE] for fracture of right femur with a plan for discharge home after rehabilitation. Resident #71 was discharged from the hospital after surgery to repair a right femur fracture. Review of the Wound Care Nurse's assessment on admission on [DATE] revealed she noted redness to sacral area. On 08/23/24 at 12:31 pm a telephone interview with Nurse #1 revealed on 08/13/24 she was called to the resident's room by the (Nurse Aide) NA providing care to Resident #71. She reported the sacral pressure ulcer appeared to have slough, she measured it and left a message for the Wound Care Nurse to further assess. [...]
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, observations, and staff and Medical Director (MD) interviews, the facility failed to do a weekly skin assessment which resulted in the delay of identification of a stage three pressure ulcer for 1 of 1 resident reviewed for pressure ulcer (Resident #71).
March 9, 2023Standard inspection · 9 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments in the areas of medications (Residents # 22, #4 & #1), accidents (Resident #4 & #26), diagnoses (Resident #4) and urinary status (Resident # 54) for 5 of 20 sampled residents whose MDS were reviewed.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, observation, and interviews with the Physician, Wound Physician and staff, the facility failed to obtain an order for treatment to the left buttock pressure ulcer (Resident #4) and failed to ensure the alternating air mattress was functioning resulting in a deflated air mattress (Resident #29) for 2 of 3 sampled residents reviewed for pressure ulcers (Residents #4 & #29).
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record reviews, Nurse Practitioner, Medical Director and staff interviews, the facility failed to hold diabetic medications (Residents #18 and #42) and blood pressure medications (Residents #42 and #22) as ordered by the physician for 3 of 6 residents whose medications were reviewed.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record reviews, observations, Nurse Practitioner, Medical Director, and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the annual recertification survey on 7/1/21. This was for four deficiencies that were cited in the areas of Accuracy of Assessments, Activities of Daily Living Care Provided to Dependent Residents, Treatment/Services to Prevent/Heal Pressure Ulcers and Drug Regimen is Free From Unnecessary Drugs. The duplicate citations during two federal surveys of record shows a pattern of the facility's inability to sustain an effective QAPI program.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interview, the facility failed to refer a resident with newly evident diagnosis of mental illness for Preadmission Screening and Resident Review (PASARR) level II screen for 1 of 1 sampled resident reviewed for PASARR (Resident #7).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, observation and family and staff interviews, the facility failed to provide showers as scheduled for 1 of 5 sampled residents who needed extensive assistance or were dependent on the staff for activities of daily living (Resident #59).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to ensure oxygen therapy was provided as ordered by the physician for 1 of 4 sampled residents for respiratory care (Resident #33).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, observation and resident and staff interview, the facility failed to have accurate and complete medical records in the areas of pressure ulcers (Resident #4), wound care (Resident #29) & splint application (Resident #1) for 3 of 20 sampled residents whose medical records were reviewed (Residents # 1, # 4 & #29).
- B Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record reviews and interviews with staff, the facility failed to provide the resident and/or Responsible Party (RP) written notification of the reason for a hospital transfer for 2 of 3 residents reviewed for hospitalization (Residents #54 and #17).
Fire safety inspections
8 fire safety citations on file: 5 on August 23, 2024, 3 on March 9, 2023.
Every fire safety citation8 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install a fire alarm system that can be heard throughout the facility.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 21, 2025 | Fine | $8,278 |
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.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.31 | 3.85 | 3.86 |
| Registered nurses | 0.43 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.00 | 3.42 | 3.42 |
| Nurse aides | 2.00 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 48.6% | 49.0% | 45.8% |
| Registered nurse turnover | 45.5% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.61 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 3.43 on weekdays and 3.00 on weekends, 13% 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 3.44 in April to June 2025 to 3.31 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.31 | 0.43 | 3.43 | 3.00 | 0.0% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.41 | 0.41 | 3.49 | 3.21 | 4.7% | 0 of 92 | 78 |
| Jul to Sep 2025 | 3.55 | 0.44 | 3.68 | 3.22 | 20.6% | 0 of 92 | 79 |
| Apr to Jun 2025 | 3.44 | 0.40 | 3.56 | 3.13 | 20.2% | 0 of 91 | 79 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 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.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.9 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Long Term Care Management Services LLC | 5% or greater direct ownership interest | Organization | 100% | 03/10/2011 |
| McNeill, John | 5% or greater direct ownership interest | Individual | 07/01/2005 | |
| McNeill, Ronald | 5% or greater direct ownership interest | Individual | 07/01/2005 | |
| Liberty Long Term Care LLC | Direct ownership interest | Organization | 04/29/2025 | |
| John a McNeill Jr 2012 Irrv Tr | Indirect ownership interest | Organization | 04/29/2025 | |
| Liberty Healthcare Group LLC | Indirect ownership interest | Organization | 04/29/2025 | |
| Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust | Indirect ownership interest | Organization | 04/29/2025 | |
| McNeill, John | Corporate director | Individual | 08/18/2005 | |
| McNeill, Ronald | Corporate director | Individual | 08/18/2005 | |
| Miller, Robert | Corporate director | Individual | 04/29/2025 | |
| Mitchell, Rajan | Corporate director | Individual | 04/29/2025 | |
| Wilson, Jeffrey | Corporate director | Individual | 03/10/2011 | |
| Liberty Healthcare Management Inc | Operational/managerial control | Organization | 07/01/2005 | |
| Long Term Care Management Services LLC | Operational/managerial control | Organization | 03/10/2011 | |
| Calcutt, Joseph | Operational/managerial control | Individual | 03/10/2011 | |
| McNeill, John | Operational/managerial control | Individual | 03/10/2011 | |
| McNeill, Ronald | Operational/managerial control | Individual | 03/10/2011 | |
| Mitchell, Rajan | Operational/managerial control | Individual | 04/29/2025 | |
| Osano, Patience | Operational/managerial control | Individual | 04/29/2025 | |
| Oliver, Anna | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/08/2025 | |
| Purvis, Jenny | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/08/2025 | |
| Miller, Robert | Adp of the SNF | Individual | 04/29/2025 | |
| Mitchell, Rajan | Adp of the SNF | Individual | 12/08/2025 | |
| Osano, Patience | Adp of the SNF | Individual | 12/08/2025 | |
| Wilson, Jeffrey | Adp of the SNF | Individual | 04/29/2025 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 21, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on March 9, 2023: "Ensure each resident receives an accurate assessment."
- 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 August 23, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on March 9, 2023: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Liberty Commons Nursing and Rehabilitation Center Sanford, 3.8 mi · 2 of 5 stars · 34 citations
- Sanford Health & Rehabilitation Co Sanford, 9.7 mi · 4 of 5 stars · 13 citations
- Peak Resources - Pinelake Carthage, 14.7 mi · 4 of 5 stars · 18 citations
- The Laurels of Chatham Pittsboro, 19.5 mi · 2 of 5 stars · 31 citations
- Penick Village Southern Pines, 21.2 mi · 5 of 5 stars · 8 citations
- Emerald Health & Rehab Center Lillington, 21.4 mi · 2 of 5 stars · 20 citations
- The Greens at Pinehurst Rehabilitation & Living Ce Pinehurst, 22.3 mi · 3 of 5 stars · 24 citations
- Saint Joseph of the Pines Health Center Pinehurst, 23.4 mi · 5 of 5 stars · 7 citations
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.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Westfield Rehabilitation and Health Center's Medicare star rating?
- CMS rates Westfield Rehabilitation and Health Center 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 Westfield Rehabilitation and Health Center get at its last inspection?
- 1 health deficiency at the standard inspection on August 21, 2025. The North Carolina average is 4.7.
- Has Westfield Rehabilitation and Health Center been fined?
- Yes. CMS lists 1 fine totaling $8,278 in the last three years.
- Does Westfield Rehabilitation and Health 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 Westfield Rehabilitation and Health Center?
- CMS lists 25 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY HEALTHCARE GROUP LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.