LIBERTYWOOD NURSING CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Libertywood Nursing Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

LIBERTYWOOD NURSING CENTER
1028 BLAIR STREET
THOMASVILLE, NC 27360
(336) 472-7771

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 100
  • Certified Beds: 120

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Individual
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

High Point | Archdale | Trinity

Resident Services

The information below lists services this facility has provided for residents from November through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Libertywood Nursing Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-1613.0%
Total Percent:13.0%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-103.4%
Total Percent:3.4%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 0-513.7%
Total Percent:13.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1610.3%
ADL Index Range: 0-530.1%
Total Percent:40.4%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-169.6%
Total Percent:9.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
3.4%
Total Percent:3.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- Signs of depression
9.6%
Total Percent:9.6%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Two or more restorative nursing on 6+ days/wk
6.8%
Total Percent:6.8%
 

Rating Details For Libertywood Nursing Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours27 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours41 Minutes47 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 34 Minutes2 Hours and 30 Minutes
Total Licensed Nurse Hours1 Hour and 8 Minutes2 Hours and 2 Minutes
Total Nurse Hours2 Hours and 42 Minutes4 Hours and 32 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for North Carolina are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNorth Carolina Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder49%60%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection17%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair10%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores10%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%4%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious28%15%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased29%20%
Percent of Long-Stay Residents Who Were Physically Restrained4%4%
Percent of Long-Stay Residents Who Lose Too Much Weight6%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season85%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores7%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain25%17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/25/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/20/2009
Post Nurse Staffing Information.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010
Quickly Tell the Resident's Doctor the Results of Lab Tests.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/25/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Get Rid of Garbage Properly.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/09/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/25/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/25/2011

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/28/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 09/24/2010
  • Correction Date: 11/09/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/25/2011
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/25/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/14/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/15/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/01/2010
Electronically Record and Report Resident Status Assessments in a Timely Manner As Required in Order to Monitor Resident Health and Progress.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/22/2010
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record.
  • Inspection Date: 03/25/2011
  • Correction Date: 04/25/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/10/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 07/23/2009
  • Correction Date: 08/01/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 09/24/2010
  • Correction Date: 09/27/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/08/2010
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/08/2010
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 09/24/2010
  • Correction Date: 10/08/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)07/23/2009$4,778
Civil Money Penalty (CMP)09/24/2010$6,900
Civil Money Penalty (CMP)09/24/2010$9,387
Civil Money Penalty (CMP)07/23/2009$71,829
Denial of Payment for New Admission (DPNA)07/23/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Libertywood Nursing Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 11/18/2009
  • Correction Date: 12/11/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 09/24/2010
  • Correction Date: 10/22/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 03/25/2011
  • Correction Date: 04/25/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 09/24/2010
  • Correction Date: 11/09/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 09/24/2010
  • Correction Date: 11/09/2010
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 03/25/2011
  • Correction Date: 04/25/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 09/24/2010
  • Correction Date: 11/09/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Complaint Filed: 09/24/2010
  • Correction Date: 10/22/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Libertywood Nursing Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/03/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 08/25/2009
  • Correction Date: 08/29/2009
Approved Construction Type or Materials.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/29/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 08/25/2009
  • Correction Date: 08/29/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/25/2009
  • Correction Date: 08/29/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/29/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/25/2009
  • Correction Date: 08/29/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/29/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/03/2011
  • Correction Date: 06/18/2011

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/29/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/29/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/03/2011
  • Correction Date: 06/18/2011

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 08/25/2009
  • Correction Date: 08/29/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 08/25/2009
  • Correction Date: 08/29/2009

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 10/29/2010
  • Correction Date: 11/29/2010
Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/03/2011
  • Correction Date: 06/18/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 05/03/2011
  • Correction Date: 06/18/2011
Source: Medicare Nursing Home Compare; Division of Health Service Regulation-Nursing Home Licensure and Certification - Retrieved 2011