North Carolina ›Sanford

Westfield Rehabilitation and Health Center

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3100 Tramway Road, Sanford, NC 27330 (opens Google Maps) · Lee County · (919) 775-5404· 83 certified beds · avg 79 residents/day · certified since Nov 1, 1981 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

4/5
Health inspection rating (on-site)
inspected Aug 21, 2025
1
Serious findings on record
most recent Aug 21, 2025
$8,278
Fines, last 3 years
3.51
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Aug 21, 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689

  2. D · Potential for more than minimal harm, isolated

    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 F-0580

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint F-0686

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Aug 21, 2025▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Aug 23, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0580
Aug 23, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Mar 9, 2023E · Potential for more than minimal harm, patternThe 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. · F-0757
Mar 9, 2023E · Potential for more than minimal harm, patternThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0644
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Mar 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 9, 2023B · Potential for minimal harm, patternThe 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. · F-0623

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (2 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202390E
202420D
202511G ▲

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)

How to file a complaint about care →

1 fine totaling $8,278.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Aug 21, 2025Fine$8,278

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.51
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.45
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.19
North Carolina average: 3.56
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.514.013.95bottom 38% in North Carolina; bottom 37% in the U.S.
Registered Nurse hours0.450.640.69bottom 34% in North Carolina; bottom 30% in the U.S.
Weekend total nurse staffing3.193.563.50bottom 45% in North Carolina; bottom 41% in the U.S.
Weekend RN hours (not acuity-adjusted)0.210.410.48bottom 21% in North Carolina; bottom 14% in the U.S.
Total nursing staff turnover (%)48.649.045.8top 49% in North Carolina; bottom 40% in the U.S.
RN turnover (%)45.545.742.9top 50% in North Carolina; bottom 43% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.31, RN 0.43, weekend 3.00.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Westfield Rehabilitation and Health Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
John a McNeill Jr 2012 Irrv TrOrganizationIndirect Ownership InterestNOT APPLICABLE04/29/2025
Liberty Healthcare Group LLCOrganizationIndirect Ownership InterestNOT APPLICABLE04/29/2025
Liberty Long Term Care LLCOrganizationDirect Ownership InterestNOT APPLICABLE04/29/2025
Long Term Care Management Services LLCOrganization5% or Greater Direct Ownership Interest100%03/10/2011
McNeill, JohnIndividual5% or Greater Direct Ownership Interest—07/01/2005
McNeill, RonaldIndividual5% or Greater Direct Ownership Interest—07/01/2005
Ronald B. and Cynthia J. McNeill 2013 Irrevocable TrustOrganizationIndirect Ownership InterestNOT APPLICABLE04/29/2025
Calcutt, JosephIndividualOperational/Managerial ControlNOT APPLICABLE03/10/2011
Liberty Healthcare Management INCOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/2005
Long Term Care Management Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE03/10/2011
McNeill, JohnIndividualCorporate DirectorNOT APPLICABLE08/18/2005
McNeill, JohnIndividualOperational/Managerial ControlNOT APPLICABLE03/10/2011
McNeill, RonaldIndividualCorporate DirectorNOT APPLICABLE08/18/2005
McNeill, RonaldIndividualOperational/Managerial ControlNOT APPLICABLE03/10/2011
Miller, RobertIndividualCorporate DirectorNOT APPLICABLE04/29/2025
Miller, RobertIndividualADP of the SNFNOT APPLICABLE04/29/2025
Mitchell, RajanIndividualCorporate DirectorNOT APPLICABLE04/29/2025
Mitchell, RajanIndividualOperational/Managerial ControlNOT APPLICABLE04/29/2025
Mitchell, RajanIndividualADP of the SNFNOT APPLICABLE12/08/2025
Oliver, AnnaIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE12/08/2025

Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Liberty Senior Living — 37 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 36 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"
  • "If my family member falls or their condition changes, exactly when and how will I be notified?"
  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
  • "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
  • "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
  • "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the North Carolina midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Liberty Commons Nursing and Rehabilitation Center3.8 miSanford, NC★★☆☆☆3/5
Sanford Health & Rehabilitation Co9.7 miSanford, NC★★★★☆4/5
Peak Resources - Pinelake14.7 miCarthage, NC★★★★☆4/5
The Laurels of Chatham19.5 miPittsboro, NC★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Sanford →

Facility data as of CMS processing date 2026-08-01. CCN 345216.

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