Liberty Health Care Center in Liberty, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings, despite a 4-star quality measure rating. It reported nurse staffing below the federal benchmark (3.42 vs. 4.1 hours/resident/day) and had $222,130 in fines in the last 24 months, including a recent federal penalty.
Last inspection: March 19, 2026Penalties, last 24 months: $222,130recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4248.
Staffing detail
Registered nurses
0.26
Licensed practical nurses
1.18
Nurse aides
1.98
Weekend nursing
2.90
Hours per resident per day.
Total staff turnover: 77%
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
0.8%Steady
Residents with a fall causing major injury
1.9%Steady
Residents with pressure ulcers (bedsores)
4.4%Worsening
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
1.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.9%Improving
Residents whose ability to walk got worse
12.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
32.5%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.4%Improving
Residents with depressive symptoms
1%Improving
Long-stay residents given the seasonal flu vaccine
96.8%Steady
Long-stay residents given the pneumonia vaccine
99.1%Steady
Short-stay residents given the seasonal flu vaccine
98.8%Steady
Short-stay residents given the pneumonia vaccine
95%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited May 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J
The home failed to protect residents from the wrongful use of their belongings or money. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 602 — 42 CFR §483.12 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $24,845 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $197,285 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $222,130 in total fines.
Federal fine
Mar 19, 2026
$24,845
Federal fine
May 9, 2025
$197,285
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of HEALTH SERVICES MANAGEMENT · 16 homes · 3 stars avg
Occupancy
60.8 residents on an average day (52% of 118 beds)
Resident voice
Resident council
Medicare history
Certified for 30 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.