Liberty Health Care Center in Liberty, TX has a 1-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (3.76 vs. 4.1 hours per resident per day). It also has a recent abuse citation and $225,774 in fines over the last 24 months, while its health inspection rating is 2 stars and quality measures rating is 3 stars.
Last inspection: March 19, 2026Penalties, last 24 months: $225,774recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7593.
Staffing detail
Registered nurses
0.29
Licensed practical nurses
1.24
Nurse aides
2.23
Weekend nursing
3.14
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 86%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%3%Worsening
Residents with a fall causing major injury
1.9%1.9%No change
Residents with pressure ulcers (bedsores)
3.8%2.9%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2%8.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13%4.8%Improving
Residents whose ability to walk got worse
—7.6%—
Long-stay residents on antianxiety or sleep medication
33.3%26.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.9%11%Improving
Residents with depressive symptoms
2.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.8%—
Long-stay residents given the pneumonia vaccine
96.2%100%Improving
Short-stay residents given the seasonal flu vaccine
—98.8%—
Short-stay residents given the pneumonia vaccine
97.6%96.1%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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — 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.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — 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.
View the original federal record
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.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $200,929 was recorded.
PENALTY
A federal fine of $197,285 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $225,774 in total fines.
Federal fine
Mar 19, 2026
$24,845
Federal fine
May 9, 2025
$200,929
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of HEALTH SERVICES MANAGEMENT · 16 homes · 3.1 stars avg
Occupancy
61.5 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.