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Liberty Commons Nsg & Reh John

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About Liberty Commons Nsg & Reh John

General Information

Legal Business NameLiberty Healthcare Group LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 25, 2002 (14 years)
Capacity100
Residents95
Percent Occupied95%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Liberty Commons Nsg & Reh John

Liberty Commons Nsg & Reh John
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

March 4, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintProvide food in a way that meets a resident's needs.
DFewPotential for HarmComplaintEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.

September 25, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
ESomePotential for HarmFire Safety InspectionExits that are free from obstructions and can be used at all times.
ESomePotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

September 5, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
BSomePotential for Minimal HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

June 7, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
ESomePotential for HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Liberty Commons Nsg & Reh John require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 40min
2hr 25min
ReportedExpected
CNA
1hr 5min
40min
ReportedExpected
LPN
20min
60min
ReportedExpected
RN
4hr 5min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.5%
97.4%
97.4%
93.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Seasonal Influenza Vaccine
88.2%
87.7%
92.6%
92.8%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
65.8%
54.8%
48.4%
54.9%
Q1 2015Q2 2015Q3 2015NC
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.1%
15.5%
16.4%
14.5%
Q1 2015Q2 2015Q3 2015NC
Received an Antipsychotic Medication
16.1%
13.3%
18.9%
18.8%
Q1 2015Q2 2015Q3 2015NC
Need for Help with ADLs has Increased
9.9%
-
20.2%
9.2%
Q1 2015Q2 2015Q3 2015NC
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
4.4%
11.0%
2.9%
8.9%
Q1 2015Q2 2015Q3 2015NC
Lose Too Much Weight
1.7%
1.7%
7.5%
7.5%
Q1 2015Q2 2015Q3 2015NC
High Risk Residents With Pressure Ulcers
0.0%
5.7%
1.6%
3.8%
Q1 2015Q2 2015Q3 2015NC
Have Depressive Symptoms
2.9%
2.7%
5.9%
5.9%
Q1 2015Q2 2015Q3 2015NC
With a Urinary Tract Infection
4.4%
6.8%
8.8%
3.2%
Q1 2015Q2 2015Q3 2015NC
Experiencing One or More Falls with Major Injury
5.5%
5.1%
4.0%
2.8%
Q1 2015Q2 2015Q3 2015NC
With a Catheter Inserted and Left in Their Bladder
0.0%
1.4%
0.0%
0.7%
Q1 2015Q2 2015Q3 2015NC
Were Physically Restrained

Quality Measures for Short Stay Residents

80.4%
85.5%
88.8%
82.2%
Q1 2015Q2 2015Q3 2015NC
Assessed and Appropriately Given the Pneumococcal Vaccine
82.7%
82.7%
82.7%
82.2%
Q1 2015Q2 2015Q3 2015NC
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
14.9%
19.4%
25.6%
18.3%
Q1 2015Q2 2015Q3 2015NC
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
2.2%
Q1 2015Q2 2015Q3 2015NC
Newly Received an Antipsychotic Medication
1.9%
3.9%
2.6%
1.2%
Q1 2015Q2 2015Q3 2015NC
With Pressure Ulcers That Are New or Worsened