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Elizabethtown Healthcare & Rehab Center
208 Mercer Mill Road, Elizabethtown, NC 28337 · CMS Certification Number (CCN) 345210
At a glance
- CMS overall rating
- ★★★☆☆ 3 of 5
- Health inspection citations
- 6 in the last 3 inspection cycles (0 immediate jeopardy, 1 actual harm, 2 from complaints)
- Fire safety citations
- 11
- Fines (last 3 years)
- 1 fine, total $8,788
- Payment denials
- 0
- Most recent standard inspection
- September 16, 2025
- Official record
- Medicare Care Compare page for this facility
Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
CMS star ratings
CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide
| Rating | This facility | North Carolina average | U.S. average |
|---|---|---|---|
| Overall | ★★★☆☆ 3 of 5 | 2.9 | 3 |
| Health inspections | ★★★☆☆ 3 of 5 | 2.9 | 2.8 |
| Staffing | ★★★☆☆ 3 of 5 | 2.7 | 2.9 |
| Quality measures | ★★★☆☆ 3 of 5 | 3.3 | 3.6 |
| Long-stay quality | ★★★☆☆ 3 of 5 | Not published | Not published |
| Short-stay quality | ★★★☆☆ 3 of 5 | Not published | Not published |
Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Health inspections
| Inspection cycle | Standard survey date | Health citations | From standard survey | From complaints |
|---|---|---|---|---|
| Cycle 1 (most recent) | September 16, 2025 | 4 | 4 | 0 |
| Cycle 2 | September 26, 2024 | 2 | 2 | 2 |
CMS weighted health inspection score: 25 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations
6 health citations across 2 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.
September 16, 2025: 4 citations (Standard)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies | Standard | Deficient, Provider has date of correction Corrected 09/17/2025 |
| D | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies | Standard | Deficient, Provider has date of correction Corrected 09/17/2025 |
| D | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies | Standard | Deficient, Provider has date of correction Corrected 09/17/2025 |
| G | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies | Standard | Past Non-Compliance Corrected 08/09/2025 |
September 26, 2024: 2 citations (Standard + Complaint)
| Severity | Tag | What was cited | Type | Status |
|---|---|---|---|---|
| D | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies | Standard + Complaint | Past Non-Compliance Corrected 09/13/2024 |
| B | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies | Standard + Complaint | Deficient, Provider has plan of correction Corrected 10/26/2024 |
Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Fire safety inspections
11 fire safety citations across 3 inspection dates
| Date | Severity | Tag | What was cited | Status |
|---|---|---|---|---|
| 09/26/2024 | D | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | E | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | E | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | D | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | D | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | E | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | D | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | D | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 09/26/2024 | D | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies | Deficient, Provider has date of correction Corrected 12/07/2024 |
| 06/22/2023 | F | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies | Deficient, Provider has date of correction Corrected 08/29/2023 |
| 03/03/2022 | F | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies | Deficient, Provider has date of correction Corrected 03/30/2022 |
Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.
Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Penalties
| Date | Type | Fine amount | Payment denial |
|---|---|---|---|
| September 16, 2025 | Fine | $8,788 | — |
Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Staffing
| Measure | This facility | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staff hours per resident per day | 3.34 | 3.85 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.61 | 0.62 | 0.69 |
| LPN/LVN hours per resident per day | 0.41 | Not published | Not published |
| Nurse aide hours per resident per day | 2.32 | Not published | Not published |
| Total nurse staff hours per resident per day, weekends | 3.02 | Not published | Not published |
| RN hours per resident per day, weekends | 0.29 | Not published | Not published |
| Total nursing staff turnover (%) | 48.8 | 49 | 45.8 |
| Registered nurse turnover (%) | 20 | Not published | Not published |
| Administrators who have left | 0 | Not published | Not published |
Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.
Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Facility details
- Legal business name
- Liberty Healthcare Group LLC
- Ownership type
- For profit - Corporation
- Chain
- Liberty Senior Living (37 facilities)
- Ownership changed in last 12 months
- No
- Certified beds
- 94
- Average residents per day
- 89.3
- Participates in
- Medicare and Medicaid
- Located inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- First approved for Medicare/Medicaid
- October 1, 1981
- County/parish
- Bladen
Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Owners and managers reported to CMS
27 ownership and management records
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LIBERTY LONG TERM CARE LLC | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| JOHN A MCNEILL JR 2012 IRRV TR | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| LIBERTY HEALTHCARE GROUP LLC | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | undefined undefined, NaN |
| MCNEILL, JOHN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MCNEILL, RONALD | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | undefined undefined, NaN |
| BARROW, LORI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CALCUTT, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CAQUIAS GONZALEZ, EILEEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| WILSON, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MCNEILL, ROBERT | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| OLIVER, ANNA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| PURVIS, JENNY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| JOHN A MCNEILL JR 2014 IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| LIBERTY HEALTHCARE MANAGEMENT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| LIBERTY HEALTHCARE PROPERTIES OF BLADEN COUNTY,LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| LIBERTY REAL PROPERTIES II LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| LONG TERM CARE MANAGEMENT SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| RONALD B AND CYNTHIA J MCNEIL 2014 IRREVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | undefined undefined, NaN |
| BARROW, LORI | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CALCUTT, JOSEPH | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| CAQUIAS GONZALEZ, EILEEN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MCNEILL, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MCNEILL, RONALD | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| MILLER, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
| WILSON, JEFFREY | ADP OF THE SNF | Individual | NOT APPLICABLE | undefined undefined, NaN |
Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026
Check it yourself
- Medicare Care Compare: Elizabethtown Healthcare & Rehab Center. Full inspection reports, quality measures and staffing.
- DHSR Complaint Intake Unit: File a Complaint. The state agency also takes nursing home complaints.
- Ask the facility to show you its most recent inspection report and plan of correction.
Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.