Liberty Commons Nursing & Rehabilitation Center of Inspection Report, Violations & Safety Grade (Burlington, North Carolina)

791 Boone Station Drive, Burlington, North Carolina 27215

Phone: 3365869850

CMS Overall:4/5

Overview & Bed Count

Certified Beds

122

Avg Residents/Day

113.9

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Alamance

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall4/5

Health4/5

Staffing2/5

Quality4/5

Metric	This Facility	North Carolina Avg	Difference
RN Hours per Resident per Day	0.34	0.62	-0.28
Total Nurse Hours per Resident per Day	3.71	3.87	-0.16
CMS Staffing Rating	2/5	2.7/5	-
Nursing Staff Turnover	66.4%	48.7%	-

6 health citations on record

Date	Category	Description	Severity
2026-01-08	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	E – Moderate Harm Potential
2026-01-08	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D – Moderate Harm Potential
2024-09-27	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D – Moderate Harm Potential
2024-09-27	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2024-09-27	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	B – Minimal Harm Potential
2024-09-27	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	B – Minimal Harm Potential

8 fire safety citations on record

Date	Category	Description	Severity
2024-09-27	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2024-09-27	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D – Moderate Harm Potential
2023-06-08	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	D – Moderate Harm Potential
2023-06-08	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	D – Moderate Harm Potential
2023-06-08	Smoke Deficiencies	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	D – Moderate Harm Potential
2023-06-08	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	D – Moderate Harm Potential
2023-06-08	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	D – Moderate Harm Potential
2023-06-08	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	D – Moderate Harm Potential

Total Fine Amount (CMS)

Number of Fines

Total Penalties

No penalty records found.

Our family advisors can help you find vetted, top-rated facilities in the Burlington area at no cost.

Advisor service is free for families. We may receive referral compensation.

Our family advisors can help you find vetted, top-rated facilities in the Burlington area at no cost.

Advisor service is free for families. We may receive referral compensation.