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LIBERTY COMMONS REHABILITATION CENTER - WILMINGTON, NC

 



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Address
121 RACINE DRIVE
WILMINGTON, NC, 28403
Phone (make sure to verify first before calling): (910) 452-4070

Number of Certified Beds: 100
Total Number of Residents: 76
Percent of Occupied Beds: 76%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 5 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 3.74
Administrative Staff - Part Time: 1.24
Certified Nurse Aides - Full Time: 30.67
Certified Nurse Aides - Part Time: 3.76
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 14.07
Food Service Personnel - Part Time: 0.70
Licensed Practical/ Vocational Nurses - Full Time: 11.53
Licensed Practical/ Vocational Nurses - Part Time: 2.53
Medical Directors - Under Contract: 0.11
Mental Health Services Personnel - Under Contract: 0.03
Nurses With Administrative Duties - Full Time: 3.31
Persons Not Included In Any Other Categories - Full Time: 16.60
Registered Nurses - Full Time: 3.90
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.21
Activities Professionals - Full Time: 1.19
Dentists - Under Contract: 0.04
Occupational Therapists - Part Time: 0.07
Pharmacists - Under Contract: 0.23
Podiatrists - Under Contract: 0.01
Housekeeping Personnel - Under Contract: 9.51
Physician Extenders - Under Contract: 0.69
Persons Not Included In Any Other Categories - Part Time: 1.44
Registered Nurses - Part Time: 0.87
Occupational Therapists - Full Time: 1.23
Physical Therapists - Full Time: 0.97
Occupational Therapy Assistants - Part Time: 1.11
Speech Pathologists - Part Time: 0.61

Provided Services

  • Activities Services Are Provided Offsite To Residents
  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Offsite To Residents
  • Dental Services Are Provided Offsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Offsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Non Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Non Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Offsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Non Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

8.3%
North Carolina:

19.4%
Percent of long-stay residents who self-report moderate to severe pain
Here:

10.6%
State:

12.6%
Percent of long-stay high-risk residents with pressure ulcers
Here:

7.8%
North Carolina:

7.4%
Percent of long-stay residents who lose too much weight
This Nursing Home:

18.0%
State:

8.7%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

1.3%
State:

3.2%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

3.3%
State:

8.1%
Percent of long-stay residents who have depressive symptoms
Here:

28.8%
North Carolina:

6.2%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

3.3%
North Carolina:

3.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

98.4%
State:

94.9%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

96.7%
State:

96.5%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

19.6%
North Carolina:

21.9%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

90.7%
State:

88.7%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

87.3%
North Carolina:

87.2%
Percent of short-stay residents who newly received an antipsychotic medication
Here:

1.6%
North Carolina:

2.6%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

17.7%
State:

21.0%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.370
North Carolina:

0.671
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

1.190
North Carolina:

0.848
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.560
State:

1.518
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.150
State:

0.086
Number Therapy Hours Per Resident Per Day
This Nursing Home:

0.150
North Carolina:

0.088

Complaint Deficiency

A separate and independent backup electrical power source: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Few (Minimal harm or potential for actual harm)

1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being: Few (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Approved construction type or materials: Many (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Few (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Few (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Few (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Few (Minimal harm or potential for actual harm)

Proper medical gas storage and administration areas: Few (Minimal harm or potential for actual harm)

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