Royal Park Rehabilitation & Health Center

Also known publicly as Royal Park of Matthews Rehabilitation & Health Center

Matthews, NC

CMS provider ID 345026CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 169
Ownership descriptor: For profit - Limited Liability company
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 7048496990Verified public information · checked Aug 2026
Also known publicly as: Royal Park of Matthews Rehabilitation & Health CenterVerified public information · checked Aug 2026

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 2-star staffing rating for this facility.

RN staffing was 0.37 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Dec 5, 2025 cited 3 deficiencies.

View inspection evidence

Ownership

CMS-published records list 29 ownership or control parties.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 37 facilities across 2 states or territories.

View chain evidence

Enforcement record

CMS records show a $23,010 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - Limited Liability companyCMS
Chain: LIBERTY SENIOR LIVINGCMS identifies this facility as part of the LIBERTY SENIOR LIVING chain.
Related facilities: 35Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

5 CMS-reported ownership organizations
CMS reports 19 individual ownership interests
a CMS chain / common-control group

Related facilities

35 currently connected nursing homes share this CMS organization identity with LIBERTY HEALTHCARE GROUP LLC.

Average CMS overall rating: 2.8 stars across 35 reporting facilities
CMS monetary penalties: 20 of 35 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 7 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 5 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 17 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $902,277

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 29
Organizations shown: 10
Individuals shown: 19
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

LONG TERM CARE MANAGEMENT SERVICES LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 10, 2011
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CALCUTT, JOSEPH
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CLEMENTS, THAD
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 5, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
JAMES, NICOLA
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 4, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
JOHN A MCNEILL JR 2012 IRRV TR
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIBERTY HEALTHCARE GROUP LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIBERTY REAL PROPERTIES, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MILLER, ROBERT
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WILSON, JEFFREY
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MCNEILL, JOHN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 23, 2006
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MCNEILL, RONALD
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 23, 2006
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MILLER, ROBERT
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WILSON, JEFFREY
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 1, 2003
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
JOHN A MCNEILL JR 2012 IRRV TR
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIBERTY HEALTHCARE GROUP LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIBERTY REAL PROPERTIES, LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MILLER, ROBERT
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CALCUTT, JOSEPH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
CLEMENTS, THAD
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
JAMES, NICOLA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MCNEILL, JOHN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 10, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MCNEILL, RONALD
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 10, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WILSON, JEFFREY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MCNEILL, ROBERT
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
OLIVER, ANNA
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
PURVIS, JENNY
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Apr 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIBERTY HEALTHCARE GROUP LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 34 across NC, TN.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect LIBERTY HEALTHCARE GROUP LLC to 35 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with LIBERTY SENIOR LIVING

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 310 is a grouping identifier, not a legal organization.

Facilities: 37
States and territories: 2
Average overall rating: 2.8
Average staffing rating: 2.2
Average total nurse HPRD: 3.6
Total fines: 38

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	37	2.8	2.2
Mon Jun	37	2.7	2.1
Fri May	37	2.6	2.1
Wed Apr	37	2.6	2.1
Sun Mar	35	2.6	2.1
Sun Feb	34	2.6	2.1

Questions to ask

CMS groups facilities in 2 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 38 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Dec 5, 2025
Survey type: Health Complaint
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 345026
Source record locator: csv-row:86999:ccn:345026

View official CMS source

Dec 5, 2025 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 5, 2025 — Health Standard — 3 linked findings

F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: No revisit needed (Dec 16, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243866:ccn:345026
View official CMS source
F0693 — Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243863:ccn:345026
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 16, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243862:ccn:345026
View official CMS source

Aug 8, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 8, 2024 — Health Standard — 2 linked findings

F0554 — Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243867:ccn:345026
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 13, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243868:ccn:345026
View official CMS source

Jun 7, 2024 — Health Complaint — 1 linked finding

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Dec 2, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243869:ccn:345026
View official CMS source

Mar 25, 2024 — Health Complaint — 7 linked findings

F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243875:ccn:345026
View official CMS source
F0679 — Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243871:ccn:345026
View official CMS source
F0687 — Quality of Life and Care Deficiencies
Provide appropriate foot care.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243872:ccn:345026
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Feb 17, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243870:ccn:345026
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243873:ccn:345026
View official CMS source
F0810 — Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243876:ccn:345026
View official CMS source
F0867 — Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 11, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243874:ccn:345026
View official CMS source

Oct 4, 2023 — Health Complaint — 2 linked findings

F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 11, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243878:ccn:345026
View official CMS source
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 11, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243877:ccn:345026
View official CMS source

Mar 10, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 10, 2023 — Health Standard — 5 linked findings

F0688 — Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243882:ccn:345026
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243879:ccn:345026
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243880:ccn:345026
View official CMS source
F0867 — Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243881:ccn:345026
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:243883:ccn:345026
View official CMS source

Nov 19, 2021 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Tags appearing across inspections

F0804 appears in 2 linked inspections.
F0812 appears in 2 linked inspections.
F0867 appears in 2 linked inspections.
F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Dec 5, 2025
Published fine amount: $23,010.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:9321:ccn:345026
View official CMS source
Fine — Mar 25, 2024
Published fine amount: $16,801.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
345026
Source record locator
csv-row:9320:ccn:345026
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0804 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0867 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Dec 5, 2025. What changes were made after that enforcement action?

Facility history

Facility History

9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Civil monetary penalty recordedCMS recorded a $23,010 civil monetary penalty.
Health inspection completed3 deficiencies were recorded.

2025

Dec 5
Civil monetary penalty recorded
CMS recorded a $23,010 civil monetary penalty.
CMS · Recorded event date · View related evidence
Dec 5
Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Dec 5
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence

2024

Aug 8
Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jun 7
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Mar 25
Complaint inspection recorded
7 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Mar 25
Civil monetary penalty recorded
CMS recorded a $16,801 civil monetary penalty.
CMS · Recorded event date · View related evidence

2023

Oct 4
Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Mar 10
Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.468
RN categories: 0.365
LPN/LVN categories: 0.979
CNA: 1.889

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.618	3.097
RN categories	0.426	0.215

Contract staff accounted for 1.4% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.064 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.384	0.422	1.003	1.65	6.6%	91
2025Q3	3.497	0.335	1.13	1.737	5.6%	92
2025Q4	3.431	0.301	1.081	1.821	1.9%	92
2026Q1	3.468	0.365	0.979	1.889	1.4%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 2-star health inspection rating.
CMS reports a 2-star staffing rating.
CMS reports a 4-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a profile claim

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

LONG TERM CARE MANAGEMENT SERVICES LLC

CALCUTT, JOSEPH

CLEMENTS, THAD

JAMES, NICOLA

JOHN A MCNEILL JR 2012 IRRV TR

LIBERTY HEALTHCARE GROUP LLC

LIBERTY REAL PROPERTIES, LLC

MILLER, ROBERT

RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST

WILSON, JEFFREY

MCNEILL, JOHN

MCNEILL, RONALD

MILLER, ROBERT

WILSON, JEFFREY

JOHN A MCNEILL JR 2012 IRRV TR

LIBERTY HEALTHCARE GROUP LLC

LIBERTY REAL PROPERTIES, LLC

RONALD B. AND CYNTHIA J. MCNEILL 2013 IRREVOCABLE TRUST

MILLER, ROBERT

CALCUTT, JOSEPH

CLEMENTS, THAD

JAMES, NICOLA

MCNEILL, JOHN

MCNEILL, RONALD

WILSON, JEFFREY

MCNEILL, ROBERT

OLIVER, ANNA

PURVIS, JENNY

LIBERTY HEALTHCARE GROUP LLC

What this means

Questions to ask

CMS groups this facility with LIBERTY SENIOR LIVING

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0641 — Resident Assessment and Care Planning Deficiencies

F0693 — Quality of Life and Care Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0554 — Resident Rights Deficiencies

F0880 — Infection Control Deficiencies

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0679 — Quality of Life and Care Deficiencies

F0687 — Quality of Life and Care Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0804 — Nutrition and Dietary Deficiencies

F0810 — Nutrition and Dietary Deficiencies

F0867 — Administration Deficiencies

F0755 — Pharmacy Service Deficiencies

F0760 — Pharmacy Service Deficiencies

F0688 — Quality of Life and Care Deficiencies

F0804 — Nutrition and Dietary Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0867 — Administration Deficiencies

F0880 — Infection Control Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Fine — Dec 5, 2025

Fine — Mar 25, 2024

Questions generated from the evidence above

Facility History

What changed recently?