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Facility profile · CCN 345519

Liberty Commons Nursing & Rehabilitation Center Of

38 federal citations on record , including 3 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $43,231.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
38
Total citations
38
Last 3 years
4
Actual harm+
5
Federal penalties
$43,231
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

38 on record
SurveyF-TagViolationSeveritySource
Nov 20, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Nov 20, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Nov 20, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Nov 20, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Nov 20, 2025F641Ensure each resident receives an accurate assessment.DStandard
Nov 20, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.BStandard
Nov 20, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard
Jul 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jul 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Jul 12, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Jul 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jul 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jul 12, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Apr 25, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Apr 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Apr 25, 2024F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint
Dec 8, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EComplaint
Dec 8, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Dec 8, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Dec 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Dec 8, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint
Dec 8, 2023F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Jun 2, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Apr 21, 2023F880Provide and implement an infection prevention and control program.FComplaint
Apr 21, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DComplaint
Apr 21, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Apr 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 21, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard
Apr 21, 2023F814Dispose of garbage and refuse properly.EStandard
Apr 21, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Apr 21, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
Apr 21, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Apr 21, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 21, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard
Apr 21, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 21, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 21, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Apr 21, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $43,231 and 1 payment-denial actions spanning 14 days.

DateTypeFinePayment denial
Dec 8, 2023Fine$7,796
Dec 8, 2023Fine$7,797
Apr 21, 2023Fine$13,117
Apr 21, 2023Fine$14,521
Apr 21, 2023Payment DenialMay 23, 2023 · 14 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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