Liberty Commons Nursing and Rehabilitation Center
310 Commerce Drive · Sanford, NC · 27332 · 9194992206
80 certified beds For profit - Limited Liability company Chain: Liberty Senior Living
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (36 in the current record)
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Potential for harm · D May 5, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 5, 2025
Ensure that residents are free from significant medication errors.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 3, 2024 · Resident Rights
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Potential for harm · D April 4, 2024
Ensure each resident receives an accurate assessment.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 4, 2024
Provide or obtain dental services for each resident.
Corrected May 3, 2024 · Quality of Life and Care
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Potential for harm · D April 4, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 3, 2024 · Administration
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Potential for harm · D April 4, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 3, 2024 · Resident Rights
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Potential for harm · D April 4, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 3, 2024 · Resident Rights
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Potential for harm · D April 4, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 3, 2024 · Quality of Life and Care
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No harm found · B April 4, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 3, 2024 · Resident Rights
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Potential for harm · D July 6, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · D July 6, 2023 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 15, 2023 · Administration
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Immediate jeopardy · J February 9, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 17, 2023 · Resident Rights
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Immediate jeopardy · K February 9, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 17, 2023 · Quality of Life and Care
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Immediate jeopardy · K February 9, 2023
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 17, 2023 · Administration
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Actual harm · G February 9, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 9, 2023
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected March 17, 2023 · Resident Rights
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Actual harm · G February 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2022 · Quality of Life and Care
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Potential for harm · D February 9, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 17, 2023 · Resident Rights
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Potential for harm · D February 9, 2023
Respond appropriately to all alleged violations.
Corrected March 17, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 9, 2023
Ensure each resident receives an accurate assessment.
Corrected March 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 17, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345532 · certified since December 7, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.