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Woodlands Nursing & Rehabilitation Center

400 Pelt Drive, Fayetteville, NC 28301 · Cumberland County · (910) 822-0515

80 certified beds, about 75 residents a day · For profit - Corporation · Medicare and Medicaid since 1997

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 345481 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 8, 2025, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 10 health citations since December 2022 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 3.69 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.

55.6% 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.

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
4E
0F
Potential for minimal harm
0A
0B
0C
August 8, 2025Standard inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on record review and resident and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the area of oxygen therapy for 1 of 1 resident reviewed for oxygen therapy (Resident #4).
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to complete a Preadmission Screening and Resident Review (PASRR) application for a resident with newly evident mental health diagnoses for 1 of 1 sampled resident reviewed for PASRR (Resident #62).
May 7, 2024Standard inspection, Complaint inspection · 4 citations
  1. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on record review and staff interviews the facility failed to administer significant medications to 4 out of 16 residents (Resident #1, #18, #21, and #48) reviewed for medication administration. The facility also failed to follow medication administration guidelines for not crushing certain medications for 1 out of 16 residents reviewed for medication administration (Resident #42).
  2. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on record review and staff interviews the facility failed to maintain documentation of current Covid-19 vaccination status, eligibility screening, education, and offering of Covid-19 vaccination for facility staff. The failures regarding education, offering the vaccine, and maintaining records were found for 4 of 12 facility staff (Staff #1, Staff #2, Staff #3, and Staff #4) reviewed for infection control.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide a CMS-10123 (Centers for Medicare and Medicaid Services) Notice of Medicare Non-Coverage (NOMNC) at least two days prior to discharge from Medicare part A services for 1 of 3 sampled residents (Resident #127).
  4. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2024
    Inspectors wroteBased on record review, staff, pharmacist, and Nurse Practitioner (NP) interviews the facility failed to respond to the consultant pharmacist's recommendations for 1 out of 5 residents reviewed for unnecessary medications (Resident #42).
September 1, 2023Complaint inspection · 1 citation
  1. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · 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, staff interview, Physician interview, and Responsible Party interview the facility failed to implement a discharge planning process that identified changes resulting in modifications to a resident's discharge plan for one (Resident # 1) of three residents reviewed for discharge. The facility failed to follow up on a pending x-ray result before discharging a resident home. When the results came in after the resident was discharged , they showed the resident had a fracture.
December 1, 2022Standard inspection · 3 citations
  1. E
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    F742 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 29, 2022
    Inspectors wroteBased on record review, observations, and interviews with resident and staff, the facility failed to ensure residents diagnosed with Post-Traumatic Stress Disorder (PTSD) had person-centered care plans developed with individualized approaches that direct staff on how to care for their assessed needs for 2 of 3 residents (Resident #24 and Resident #52) reviewed for PTSD.
  2. E
    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, pattern · Corrected (the home has a date of correction) December 29, 2022
    Inspectors wroteBased on observations, record review and interviews with facility staff, the facility failed to date opened food items stored for use in the reach-in refrigerator and to discard foods past their use by date for 1 of 1 reach-in refrigerator. This practice had the potential to affect foods served to the residents.
  3. 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) December 29, 2022
    Inspectors wroteBased on record review and staff interviews the facility failed to have code status in the medical record for 1 of 1 resident reviewed for code status (Resident #46).

Fire safety inspections

14 fire safety citations on file: 5 on May 7, 2024, 3 on December 1, 2022, 6 on November 21, 2019.

Every fire safety citation14 citations
  1. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 7, 2024 · Corrected (the home has a date of correction)
  2. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 7, 2024 · Corrected (the home has a date of correction)
  3. 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 · May 7, 2024 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · May 7, 2024 · Corrected (the home has a date of correction)
  5. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 7, 2024 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 1, 2022 · Corrected (the home has a date of correction)
  7. 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 · December 1, 2022 · Corrected (the home has a date of correction)
  8. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 1, 2022 · Corrected (the home has a date of correction)
  9. F
    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
    K 342 · November 21, 2019 · Corrected (the home has a date of correction)
  10. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 21, 2019 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 21, 2019 · Corrected (the home has a date of correction)
  12. E
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 21, 2019 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · November 21, 2019 · Corrected (the home has a date of correction)
  14. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 21, 2019 · 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)3.693.853.86
Registered nurses0.430.620.69
All nursing staff on weekends3.483.423.42
Nurse aides2.52
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)55.6%49.0%45.8%
Registered nurse turnover55.6%45.6%42.9%
Administrators who left1

CMS expects 3.62 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 3.78 on weekdays and 3.48 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 3.69 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.690.433.783.48 19.1%0 of 9075
Oct to Dec 20254.040.364.133.83 15.7%0 of 9276
Jul to Sep 20253.990.364.113.71 11.7%0 of 9275
Apr to Jun 20253.900.444.053.52 17.2%0 of 9176
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
9.015.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.10.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.72.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.93.53.2
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
10.718.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.65.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.414.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.622.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.312.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.81.8

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.

NameRoleTypeShareSince
Liberty Long Term Care LLCDirect ownership interestOrganization04/04/2025
John a McNeill Jr 2012 Irrv TrIndirect ownership interestOrganization04/29/2025
Liberty Healthcare Group LLCIndirect ownership interestOrganization04/29/2025
Ronald B. and Cynthia J. McNeill 2013 Irrevocable TrustIndirect ownership interestOrganization04/29/2025
McNeill, JohnIndirect ownership interestIndividual04/29/2025
McNeill, RonaldIndirect ownership interestIndividual04/29/2025
Calcutt, JosephManaging control - governing bodyIndividual04/29/2025
Miller, RobertManaging control - governing bodyIndividual04/29/2025
Wilson, JeffreyManaging control - governing bodyIndividual04/29/2025
Calcutt, JosephOperational/managerial controlIndividual04/29/2025
Khurana, RajeshOperational/managerial controlIndividual04/29/2025
McNeill, JohnOperational/managerial controlIndividual04/29/2025
McNeill, RonaldOperational/managerial controlIndividual04/29/2025
Pate, SandraOperational/managerial controlIndividual04/29/2025
Wilson, JeffreyOperational/managerial controlIndividual04/29/2025
McNeill, RobertIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/20/2026
Oliver, AnnaIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/20/2026
Purvis, JennyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual02/20/2026
John a McNeill Jr 2014 Irrevocable TrustAdp of the SNFOrganization04/29/2025
Liberty Healthcare Properties of Woodlands LLCAdp of the SNFOrganization04/29/2025
Liberty Real Properties IV LLCAdp of the SNFOrganization04/29/2025
Long Term Care Management Services LLCAdp of the SNFOrganization04/29/2025
Ronald B and Cynthia J McNeil 2014 Irrevocable TrustAdp of the SNFOrganization04/29/2025
Calcutt, JosephAdp of the SNFIndividual04/29/2025
Khurana, RajeshAdp of the SNFIndividual02/20/2026
Miller, RobertAdp of the SNFIndividual04/29/2025
Pate, SandraAdp of the SNFIndividual02/20/2026
Wilson, JeffreyAdp of the SNFIndividual04/29/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 8, 2025: "Ensure each resident receives an accurate assessment."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 7, 2024: "Ensure that residents are free from significant medication errors."
  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 May 7, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  4. 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 May 7, 2024: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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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 Woodlands Nursing & Rehabilitation Center's Medicare star rating?
CMS rates Woodlands Nursing & 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 Woodlands Nursing & Rehabilitation Center get at its last inspection?
2 health deficiencies at the standard inspection on August 8, 2025. The North Carolina average is 4.7.
Has Woodlands Nursing & Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Woodlands Nursing & 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 Woodlands Nursing & Rehabilitation Center?
CMS lists 28 owners and managers, and links the home to Liberty Senior Living. Legal business name: LIBERTY HEALTHCARE GROUP LLC.

Sources

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