SNF
Liberty Commons Nursing & Rehab Center of Southpor
CCN: 345373 · Southport, NC 28461 · Brunswick County
Overview
- Address
- 630 Fodale Avenue, Southport, NC 28461
- Phone
- 9104579581
- Certified beds
- 99
- Avg daily residents
- 68 (68% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1991-05-31
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.72 | 3.63 | 3.96 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.68 | 0.63 | 0.73 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.04 | 0.81 | 1.10 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.00 | 2.19 | 2.13 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.72 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.50
hrs / resident / day
RN (weekend)
0.52
hrs / resident / day
Total nurse (adjusted, weekend)
3.73
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-05-01 | 6 | 5 | 2 | 24 | 1 | 24 |
| Cycle 2/3 (prior) | 2024-03-07 | 7 | 7 | 0 | 40 | 1 | 40 |
Total weighted health score
28.0
lower is better
Deficiencies (31)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
4 A/B/C No actual harm — minor
27 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-19 | 2025-11-25 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-01 | 2025-05-21 |
| 0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2025-05-01 | 2025-05-21 |
| 0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-05-01 | 2025-05-21 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-05-01 | 2025-05-21 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-05-01 | 2025-05-21 |
| 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-03-07 | 2024-03-29 |
| 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | 2024-03-07 | 2024-03-29 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-03-07 | 2024-03-29 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2024-03-07 | 2024-03-29 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2024-03-07 | 2024-03-29 |
| 0761 | 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. | D | 2024-03-07 | 2024-03-29 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-03-07 | 2024-03-29 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2022-11-21 | 2023-01-05 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2022-11-21 | 2023-01-05 |
| 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | 2022-11-21 | 2022-12-23 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | 2022-11-21 | 2022-12-22 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | 2022-11-21 | 2022-12-22 |
| 0688 | 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. | D | 2022-11-21 | 2023-01-05 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2022-11-21 | 2023-01-05 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-11-21 | 2023-01-05 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2022-11-21 | 2023-01-05 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-11-21 | 2023-01-05 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-11-21 | 2023-01-05 |
| 0761 | 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 | 2022-11-21 | 2023-01-05 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2022-11-21 | 2023-01-05 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2022-11-21 | 2023-01-05 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-11-21 | 2023-01-05 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2022-11-21 | 2023-01-05 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2022-11-21 | 2023-01-05 |
| 0908 | Keep all essential equipment working safely. | F | 2022-11-21 | 2023-01-05 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 13.5% Medicaid 55.6% Other 30.9%
Operating performance
Operating Margin
1.8%
Total Margin
5.7%
Occupancy Rate
77.9%
Cost per Resident Day
$37
Revenue & costs
Net Patient Revenue
$10.4M
Total Costs
$1.2M
Net Income
$617K
Balance sheet
Total Assets
$2.6M
Total Liabilities
$2.4M
Fund Balance
$192K
Current Ratio
0.44
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIBERTY SENIOR LIVING
- Chain ID
310- Facilities in chain
- 35
- Legal business name
- LIBERTY HEALTHCARE GROUP LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.9
Staffing
2.1
QM
2.9
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| LONG TERM CARE MANAGEMENT SERVICES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 03/10/2011 |
| LONG TERM CARE MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2025 |
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| MCNEILL, JOHN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/10/2011 |
| MCNEILL, RONALD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 03/10/2011 |
| CALCUTT, JOESEPH V | OPERATIONAL/MANAGERIAL CONTROL | since 03/10/2011 |
| MCNEILL, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2025 |
| MCNEILL, RONALD | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2025 |
| PETERS, DANIELLE | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2025 |
| PETERSON, GAJARAH | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2025 |
| WILSON, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 04/29/2025 |
| MILLER, ROBERT | CORPORATE DIRECTOR | since 09/01/2024 |
| CALCUTT, JOESEPH V | CORPORATE OFFICER | since 03/10/2011 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $37 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.44 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 55.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 13.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $616,544 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,407,793 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 77.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 1.8% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,573,605 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,204,029 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $191,619 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $2,381,986 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 5.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.10365 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.12809 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.72558 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.95732 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.72829 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 27 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 67.5 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.80509 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.18806 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.63459 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.62775 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.19748 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.9 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 2.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 310 | Chain ID |
| Provider Information | Chain Name | LIBERTY SENIOR LIVING | Chain Name |
| Provider Information | City/Town | Southport | City/Town |
| Provider Information | CMS Certification Number (CCN) | 345373 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Brunswick | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1991-05-31 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 33.9299 | Latitude |
| Provider Information | Legal Business Name | LIBERTY HEALTHCARE GROUP LLC | Legal Business Name |
| Provider Information | Location | 630 Fodale Avenue,Southport,NC,28461 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -78.02 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 99 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 35 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.28515 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.93286 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 630 Fodale Avenue | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Liberty Commons Nursing & Rehab Center of Southpor | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 090 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 24 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 5 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-05-01 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 24 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 7 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-03-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 40 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 40 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.51955 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 27 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.71875 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.03699 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.99957 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08411 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.68176 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.71832 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NC | State |
| Provider Information | Telephone Number | 9104579581 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.50311 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 27 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 28.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 28461 | ZIP Code |