Westfield Rehabilitation and Health Center
3100 Tramway Road, Sanford, NC 27330 · Lee County · 83 certified beds · avg 79 residents/day · certified since Nov 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: ★★★★☆4/5 · CMS overall rating: 4/5
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 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (12)
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 |
|---|---|---|
| Aug 21, 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. |
| Aug 23, 2024 | 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 |
| Aug 23, 2024 | D · Potential for harm, one-off | 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 |
| Mar 9, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 9, 2023 | E · Potential for harm, repeated | 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. |
| Mar 9, 2023 | 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 9, 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. |
| Mar 9, 2023 | 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. |
| Mar 9, 2023 | D · Potential for harm, one-off | The 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. |
| Mar 9, 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. |
| Mar 9, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 9, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 1 | 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 $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Aug 21, 2025 | Fine | $8,278 |
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) | 3.51 | 4.01 | 3.95 | bottom 38% in North Carolina; bottom 37% in the U.S. |
| Registered Nurse hours | 0.45 | 0.64 | 0.69 | bottom 34% in North Carolina; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.19 | 3.56 | 3.50 | bottom 45% in North Carolina; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.41 | 0.48 | bottom 21% in North Carolina; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 48.6 | 49.0 | 45.8 | top 49% in North Carolina; bottom 40% in the U.S. |
| RN turnover (%) | 45.5 | 45.7 | 42.9 | top 50% in North Carolina; bottom 43% 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 3.31, RN 0.43, weekend 3.00. 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: 2/5
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 | 04/29/2025 |
| Liberty Healthcare Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Liberty Long Term Care LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Long Term Care Management Services LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/10/2011 |
| McNeill, John | Individual | 5% or Greater Direct Ownership Interest | — | 07/01/2005 |
| McNeill, Ronald | Individual | 5% or Greater Direct Ownership Interest | — | 07/01/2005 |
| Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 04/29/2025 |
| Calcutt, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2011 |
| Liberty Healthcare Management INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2005 |
| Long Term Care Management Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/10/2011 |
| McNeill, John | Individual | Corporate Director | NOT APPLICABLE | 08/18/2005 |
| McNeill, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2011 |
| McNeill, Ronald | Individual | Corporate Director | NOT APPLICABLE | 08/18/2005 |
| McNeill, Ronald | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/10/2011 |
| Miller, Robert | Individual | Corporate Director | NOT APPLICABLE | 04/29/2025 |
| Miller, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| Mitchell, Rajan | Individual | Corporate Director | NOT APPLICABLE | 04/29/2025 |
| Mitchell, Rajan | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/29/2025 |
| Mitchell, Rajan | Individual | ADP of the SNF | NOT APPLICABLE | 12/08/2025 |
| Oliver, Anna | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 12/08/2025 |
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?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| Liberty Commons Nursing and Rehabilitation Center | 3.8 mi | Sanford, NC | ★★☆☆☆ | 3/5 | |
| Sanford Health & Rehabilitation Co | 9.7 mi | Sanford, NC | ★★★★☆ | 4/5 | |
| Peak Resources - Pinelake | 14.7 mi | Carthage, NC | ★★★★☆ | 4/5 | |
| The Laurels of Chatham | 19.5 mi | Pittsboro, NC | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345216.