Warren Hills Nursing Center

Name: Warren Hills Nursing Center
Address: 864 US HWY 158 Business West, Warrenton, NC, 27589, US
Telephone: 2522572011

864 Us Hwy 158 Business West, Warrenton, NC 27589 · Warren County · 140 certified beds · avg 86 residents/day · certified since Dec 1, 1983

Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.71

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 (17)

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
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 2026	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.
Feb 26, 2026	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.
Nov 21, 2024	E · Potential for harm, repeated	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.
Nov 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Nov 21, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Nov 21, 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.
Nov 21, 2024	B · Minimal risk, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 14, 2023	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.
Sep 14, 2023	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.
Sep 14, 2023	D · Potential for harm, one-off	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. · from a complaint
Sep 14, 2023	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.
Sep 14, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Year	Citations	Worst severity that year
2023	5	E
2024	5	E
2026	7	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)

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)	3.71	4.01	3.95	top 46% in North Carolina; bottom 47% in the U.S.
Registered Nurse hours	0.39	0.64	0.69	bottom 23% in North Carolina; bottom 20% in the U.S.
Weekend total nurse staffing	3.33	3.56	3.50	top 45% in North Carolina; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.29	0.41	0.48	bottom 42% in North Carolina; bottom 29% in the U.S.
Total nursing staff turnover (%)	55.9	49.0	45.8	bottom 33% in North Carolina; bottom 23% in the U.S.
RN turnover (%)	57.1	45.7	42.9	bottom 33% in North Carolina; bottom 26% 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 3.55, RN 0.37, weekend 3.19. 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: 3/5 · short-stay residents: 1/5

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	04/04/2025
Liberty Healthcare Group LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/04/2025
Liberty Long Term Care LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/04/2025
McNeill, John	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/02/2025
McNeill, Ronald	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/04/2025
Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/04/2025
Bogonko, Nelson	Individual	Operational/Managerial Control	NOT APPLICABLE	04/04/2025
Bogonko, Nelson	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2026
Calcutt, Joseph	Individual	Corporate Officer	NOT APPLICABLE	03/10/2011
Calcutt, Joseph	Individual	ADP of the SNF	NOT APPLICABLE	04/04/2025
John a McNeill Jr 2014 Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	04/04/2025
Kenney, James	Individual	Operational/Managerial Control	NOT APPLICABLE	04/04/2025
Kenney, James	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2026
Liberty Healthcare Management INC	Organization	ADP of the SNF	NOT APPLICABLE	04/04/2025
Liberty Healthcare Properties of Warren County, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/04/2025
Liberty Real Properties II LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/04/2025
Long Term Care Management Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/04/2025
McNeill, John	Individual	ADP of the SNF	NOT APPLICABLE	04/02/2025
McNeill, Robert	Individual	Trustee of the SNF	NOT APPLICABLE	04/04/2025
McNeill, Ronald	Individual	ADP of the SNF	NOT APPLICABLE	04/04/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"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
Camellia Gardens Center for Nursing and Rehab	15.3 mi	Henderson, NC	★☆☆☆☆	1/5
Kerr Lake Nursing and Rehabilitation Center	15.6 mi	Henderson, NC	★★★★☆	4/5
Senior Citizens Home	18.0 mi	Henderson, NC	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Warrenton →

Facility data as of CMS processing date 2026-08-01. CCN 345240.

The Care File

Visit checklist — Warren Hills Nursing Center

864 Us Hwy 158 Business West, Warrenton, NC 27589 · 2522572011

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345240 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)