All citations for Liberty Commons Nursing & Rehab Center of Southpor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Liberty Commons Nursing & Rehab Center of Southpor

Last standard health inspection on record

May 1, 2025

Showing 1 to 18 of 18 citations

  1. No harm, with potential for more than minimal harm

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Widespread (many residents). CMS level F.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  2. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  3. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  4. No harm, with potential for more than minimal harm

    Keep all essential equipment working safely.

    Widespread (many residents). CMS level F.

    Health citation F-0908, Environmental Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  5. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  6. No harm, with potential for more than minimal harm

    Ensure 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  7. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  8. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  9. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  10. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  11. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  12. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 5, 2023).

  16. No harm, with potential for minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level B.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home has a plan to correct it (December 23, 2022).

  17. No harm, with potential for minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home has a plan to correct it (December 22, 2022).

  18. No harm, with potential for minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2022. Found during a standard inspection.

    The home has a plan to correct it (December 22, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.