Warren Hills Nursing Center

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

140 certified beds For profit - Corporation Chain: Liberty Senior Living

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 100
Staffing 20% 66
Federal penalties 15% 100
Trend 10% 44
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.813.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day3.46≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · D February 26, 2026

    Ensure each resident receives an accurate assessment.

    Corrected March 28, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 26, 2026

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected March 28, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 28, 2026 · Quality of Life and Care

  • Potential for harm · D February 26, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 28, 2026 · Quality of Life and Care

  • Potential for harm · E February 26, 2026

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected March 28, 2026 · Pharmacy Service

  • Potential for harm · D February 26, 2026

    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.

    Corrected March 28, 2026 · Pharmacy Service

  • Potential for harm · E February 26, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 28, 2026 · Infection Control

  • Potential for harm · D November 21, 2024

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected December 16, 2024 · Resident Rights

  • Potential for harm · E November 21, 2024

    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.

    Corrected December 16, 2024 · Resident Rights

  • Potential for harm · D November 21, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected December 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 21, 2024

    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.

    Corrected December 16, 2024 · Pharmacy Service

  • No harm found · B November 21, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 16, 2024 · Resident Rights

  • Potential for harm · D September 14, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 29, 2023 · Quality of Life and Care

  • Potential for harm · D September 14, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected September 29, 2023 · Pharmacy Service

  • Potential for harm · E September 14, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 3, 2023 · Nutrition and Dietary

  • Potential for harm · E September 14, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected September 27, 2023 · Administration

  • Potential for harm · D September 14, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 27, 2023 · Resident Assessment and Care Planning

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 345240 · certified since December 1, 1983. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.