Liberty Commons Nursing & Rehab Center of Southpor
630 Fodale Avenue, Southport, NC 28461 · Brunswick County · 99 certified beds · avg 79 residents/day · certified since May 31, 1991
Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.78
Nurse hours/resident/day (adjusted)
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.
All citations in the current public record (31)
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 |
|---|---|---|
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| May 1, 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. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Mar 7, 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. |
| Mar 7, 2024 | B · Minimal risk, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 21, 2022 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Nov 21, 2022 | F · Potential for harm, facility-wide | 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. |
| Nov 21, 2022 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Nov 21, 2022 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Nov 21, 2022 | E · Potential for harm, repeated | 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. |
| Nov 21, 2022 | E · Potential for harm, repeated | 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. |
| Nov 21, 2022 | E · Potential for harm, repeated | 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. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Nov 21, 2022 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Nov 21, 2022 | B · Minimal risk, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Nov 21, 2022 | B · Minimal risk, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 21, 2022 | B · Minimal risk, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 18 | 0 | F |
| 2024 | 7 | 0 | E |
| 2025 | 6 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 3.78 | 4.01 | 3.95 | top 42% in North Carolina; top 49% in the U.S. |
| Registered Nurse hours | 0.72 | 0.64 | 0.69 | top 25% in North Carolina; top 35% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.56 | 3.50 | top 34% in North Carolina; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.41 | 0.48 | top 21% in North Carolina; top 29% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 49.0 | 45.8 | — |
| RN turnover (%) | 0.0 | 45.7 | 42.9 | — |
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 3.58, RN 0.68, weekend 3.34. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| John a McNeill Jr 2012 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Liberty Healthcare Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Liberty Long Term Care LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2025 |
| Long Term Care Management Services LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/10/2011 |
| McNeill, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Ocean Trail Convalescent Center INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Brown, Nolan | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| Calcutt, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 03/10/2011 |
| Calcutt, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2011 |
| Calcutt, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| John a McNeill Jr 2012 Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 05/30/2025 |
| Liberty Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/30/2025 |
| Liberty Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| Liberty Long Term Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/27/2025 |
| Long Term Care Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/29/2025 |
| Long Term Care Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| McNeill, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2025 |
| McNeill, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 04/29/2025 |
| McNeill, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2025 |
| Miller, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How quickly are lab tests done and results acted on when a resident's doctor orders them?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 |
|---|---|---|---|---|---|
| Brunswick Rehabilitation and Healthcare Center | 14.6 mi | Bolivia, NC | ★☆☆☆☆ | 1/5 | |
| Autumn Care of Myrtle Grove | 15.5 mi | Wilmington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Trinity Grove | 16.5 mi | Wilmington, NC | ★★★☆☆ | 2/5 | abuse |
| Brunswick Cove Nursing Center | 17.7 mi | Winnabow, NC | ★★☆☆☆ | 3/5 | |
| Azalea Health & Rehab Center | 18.1 mi | Wilmington, NC | ★★☆☆☆ | 2/5 | |
| August Healthcare at Wilmington | 19.0 mi | Wilmington, NC | ★★☆☆☆ | 3/5 | |
| Peak Resources-Wilmington, INC | 19.1 mi | Wilmington, NC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345373.