Bermuda Commons Nursing and Rehabilitation Center
316 Nc Highway 801 South, Advance, NC 27006 · Davie County · 117 certified beds · avg 109 residents/day · certified since Feb 18, 2008
Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 14, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 15, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jan 11, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 25, 2023 (Past Non-Compliance)
All citations in the current public record (21)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 6, 2025 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Jan 11, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jan 11, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 11, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 14, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | J ▲ |
| 2024 | 11 | 1 | G ▲ |
| 2025 | 9 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $28,043.
| Date | Type | Amount / length |
|---|---|---|
| Jan 11, 2024 | Fine | $13,348 |
| Sep 14, 2023 | Fine | $14,695 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.22 | 4.01 | 3.95 | bottom 16% in North Carolina; bottom 23% in the U.S. |
| Registered Nurse hours | 0.37 | 0.64 | 0.69 | bottom 19% in North Carolina; bottom 18% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.56 | 3.50 | bottom 23% in North Carolina; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.41 | 0.48 | bottom 13% in North Carolina; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | 41.0 | 49.0 | 45.8 | top 31% in North Carolina; top 39% in the U.S. |
| RN turnover (%) | 36.4 | 45.7 | 42.9 | top 34% in North Carolina; top 40% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.17, RN 0.36, weekend 2.89. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| McNeill, John | Individual | 5% or Greater Direct Ownership Interest | — | 05/02/2007 |
| McNeill, Ronald | Individual | 5% or Greater Direct Ownership Interest | — | 05/02/2007 |
| Calcutt, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2011 |
| Calcutt, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Gephardt, August | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Gephardt, August | Individual | ADP of the SNF | NOT APPLICABLE | 12/18/2025 |
| Henderson, Rebecca | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Henderson, Rebecca | Individual | ADP of the SNF | NOT APPLICABLE | 12/18/2025 |
| John a McNeill Jr 2012 Irrv Tr | Organization | Limited Partnership Interest | NOT APPLICABLE | 04/01/2025 |
| Liberty Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Liberty Healthcare Properties of Davie County, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Liberty Real Properties, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Long Term Care Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| McNeill, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| McNeill, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Miller, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Oliver, Anna | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Purvis, Jenny | Individual | Trustee of the SNF | NOT APPLICABLE | 04/01/2025 |
| Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust | Organization | General Partnership Interest | NOT APPLICABLE | 04/01/2025 |
| Wilson, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bermuda Village Retirement Center | 1.3 mi | Bermuda Run, NC | ★★★★☆ | 3/5 | |
| Trinity Elms | 2.5 mi | Clemmons, NC | ★★☆☆☆ | 3/5 | |
| Cedar Hills Center for Nursing and Rehabilitation | 3.1 mi | Clemmons, NC | ★☆☆☆☆ | 1/5 | SFF |
| Homestead Hills | 8.6 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Silas Creek Rehabilitation Center | 9.4 mi | Winston Salem, NC | ★★★★☆ | 4/5 | |
| The Oaks | 9.7 mi | Winston-Salem, NC | ★★☆☆☆ | 2/5 | |
| Davie Nursing and Rehabilitation Center | 10.4 mi | Mocksville, NC | ★★★☆☆ | 3/5 | |
| Willow Valley Center for Nursing and Rehabilitatio | 11.4 mi | Winston-Salem, NC | ★☆☆☆☆ | 1/5 | abuse |
| Arbor Acres United Methodist Retirement Community | 11.5 mi | Winston Salem, NC | ★★★★☆ | 4/5 | |
| Salemtowne | 11.8 mi | Winston-Salem, NC | ★★★★☆ | 4/5 | |
| Brookridge Retirement Community | 12.9 mi | Winston-Salem, NC | ★★★★★ | 4/5 | |
| Mill Creek Center for Nursing and Rehabilitation | 13.4 mi | Winston-Salem, NC | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345543.