Elizabethtown Healthcare & Rehab Center
208 Mercer Mill Road, Elizabethtown, NC 28337 · Bladen County · 94 certified beds · avg 89 residents/day · certified since Oct 1, 1981
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)
▲ Actual harm, one-off · Sep 16, 2025 · F-0689
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: Aug 9, 2025 (Past Non-Compliance)
All citations in the current public record (6)
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 |
|---|---|---|
| Sep 16, 2025 | ▲ 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. |
| Sep 16, 2025 | D · Potential for harm, one-off | 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. |
| Sep 16, 2025 | 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. |
| Sep 16, 2025 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Sep 26, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Sep 26, 2024 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 4 | 1 | G ▲ |
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)
1 fine totaling $8,788.
| Date | Type | Amount / length |
|---|---|---|
| Sep 16, 2025 | Fine | $8,788 |
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) | 3.24 | 4.01 | 3.95 | bottom 18% in North Carolina; bottom 24% in the U.S. |
| Registered Nurse hours | 0.59 | 0.64 | 0.69 | top 40% in North Carolina; top 49% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.56 | 3.50 | bottom 22% in North Carolina; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.41 | 0.48 | bottom 42% in North Carolina; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 48.8 | 49.0 | 45.8 | bottom 50% in North Carolina; bottom 40% in the U.S. |
| RN turnover (%) | 20.0 | 45.7 | 42.9 | top 12% in North Carolina; top 13% 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 3.34, RN 0.61, weekend 3.02. Staffing rating: 3/5.
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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| John a McNeill Jr 2012 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/31/2025 |
| Liberty Healthcare Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/31/2025 |
| Liberty Long Term Care LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/31/2025 |
| McNeill, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/31/2025 |
| McNeill, Ronald | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/31/2025 |
| Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/31/2025 |
| Barrow, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Barrow, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| Calcutt, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Calcutt, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Caquias Gonzalez, Eileen | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/03/2025 |
| Caquias Gonzalez, Eileen | Individual | ADP of the SNF | NOT APPLICABLE | 04/02/2025 |
| John a McNeill Jr 2014 Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Liberty Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Liberty Healthcare Properties of Bladen County,llc | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Liberty Real Properties II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Long Term Care Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| McNeill, John | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| McNeill, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 03/31/2025 |
| McNeill, Ronald | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Bladen East Health and Rehab | 0.3 mi | Elizabethtown, NC | ★★☆☆☆ | 3/5 | |
| Liberty Commons Nursing and Rehabilitation Center | 19.8 mi | Whiteville, NC | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345210.