The home failed to properly label and securely store medications and biologicals. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Nursing home report
Liberty Commons Nursing & Rehabilitation Center of
Burlington, NC · Medicare-certified · 122 beds
In good standing
For-profitChain member
3 of 5 overall
Liberty Commons Nursing & Rehabilitation Center of Burlington, NC has a 3-star overall rating, with a strong health inspection rating (4 stars) but very low staffing (1 star) and below-benchmark nurse staffing at 3.46 hours per resident per day versus the 4.1-hour federal benchmark. It had no fines in the last 24 months; recent inspection citations included drug storage/labeling, resident belongings or money, and residents’ rights related to treatment and advance directives.
Facility ratings
Health inspections
Staffing
3.4566 hrs/resident/day
Quality measures
Last inspection: January 8, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4566.
Staffing detail
- Registered nurses
- 0.28
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.22
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
23.5%Worsening
Residents with a fall causing major injury
4.5%Worsening
Residents with pressure ulcers (bedsores)
6.2%Improving
Residents with a urinary tract infection
1.4%Worsening
Residents who lost too much weight
10.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
13.7%Improving
Residents whose ability to walk got worse
20.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
14.2%Improving
Short-stay residents newly given an antipsychotic
1.3%Improving
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
31.2%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
61.9%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
72.6%Steady
Short-stay residents given the pneumonia vaccine
99.1%Steady
What the inspectors found
The home failed to protect residents from the wrongful use of their belongings or money. Cited January 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2024 — limited pattern, minimal harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: B
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of LIBERTY SENIOR LIVING · 37 homes · 2.6 stars avg
- Occupancy
- 116.3 residents on an average day (95% of 122 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 26 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.