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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 (15 years)
Capacity100
Residents94
Percent Occupied94%
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

September 9, 2016 - 7 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmComplaint+InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmComplaint+InspectionEnsure that residents are safe from serious medication errors.
DFewPotential for HarmComplaint+InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

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 5, 2014 - 3 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 - 3 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 25min
2hr 20min
ReportedExpected
CNA
1hr
35min
ReportedExpected
LPN
25min
1hr
ReportedExpected
RN
3hr 50min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 55min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.4%
100.0%
100.0%
100.0%
93.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.1%
97.2%
93.8%
98.6%
92.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
53.1%
60.7%
40.9%
45.8%
55.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of low risk long-stay residents who lose control of their bowels or bladder
35.7%
40.7%
35.7%
42.6%
30.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antianxiety or hypnotic medication
21.6%
35.6%
21.6%
29.2%
23.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose ability to move independently worsened
18.2%
18.6%
18.8%
20.6%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antipsychotic medication
30.8%
19.6%
13.2%
19.6%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose need for help with daily activities has increased
7.9%
18.4%
20.7%
33.2%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who self-report moderate to severe pain
1.5%
0.0%
0.0%
0.0%
8.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who lose too much weight
5.7%
5.1%
7.8%
9.3%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of high risk long-stay residents with pressure ulcers
0.0%
0.0%
0.0%
0.0%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who have depressive symptoms
3.0%
1.4%
1.6%
2.9%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a urinary tract infection
4.5%
2.8%
3.1%
0.0%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents experiencing one or more falls with major injury
1.0%
4.0%
2.2%
3.4%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

89.2%
89.9%
92.6%
94.2%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.7%
93.9%
93.9%
93.9%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
66.7%
58.2%
55.8%
57.2%
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who made improvements in function
25.6%
26.5%
32.4%
33.9%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who self-report moderate to severe pain
1.4%
4.0%
3.2%
2.5%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who newly received an antipsychotic medication
0.8%
1.3%
0.9%
1.2%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents with pressure ulcers that are new or worsened