Federal inspection record · CMS data as of October 1, 2026
Bermuda Commons Nursing and Rehabilitation Center
316 NC Highway 801 South, Advance, NC · (336) 998-0240
- Certified beds
- 117
- Residents per day
- 108
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 18, 2008
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Bermuda Commons Nursing and Rehabilitation Center carries 20 inspection points. That is fewer than 59% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights5D
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service4D
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control3E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3D
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning1B
- B
Ensure each resident receives an accurate assessment.
Inspection history
2026-04-29
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2025-03-06
9 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-01-11
11 health deficiencies · 11 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 18 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 34% of nursing staff and 36% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$13,348 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-01-11 | Fine | $13,348 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts worse | 2.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 98.7% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.2 pts worse | 93.5% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts better | 0.0% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 9.7% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2 pts better | 19.1% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.1 pts better | 12.8% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.9 pts worse | 17.5% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts better | 10.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts worse | 4.8% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse | 22.4% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 4.4% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.3 pts better | 95.8% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.2 pts better | 5.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.6 pts better | 88.7% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.2 pts worse | 25.4% | 22.2% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Calcutt, Joseph | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Calcutt, Joseph | Adp Of The SNF · Individual | 0% | 35 facilities |
| Gephardt, August | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gephardt, August | Adp Of The SNF · Individual | 0% | 1 facilities |
| Henderson, Rebecca | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Henderson, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| John A Mcneill Jr 2012 Irrv Tr | Limited Partnership Interest · Organization | 0% | 16 facilities |
| Liberty Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 24 facilities |
| Liberty Healthcare Properties Of Davie County, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Liberty Real Properties, LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Long Term Care Management Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Mcneill, John | 5% Or Greater Direct Ownership Interest · Individual | 0% | 33 facilities |
| Mcneill, John | Managing Control - Governing Body · Individual | 0% | 33 facilities |
| Mcneill, Robert | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Mcneill, Ronald | 5% Or Greater Direct Ownership Interest · Individual | 0% | 31 facilities |
| Miller, Robert | Adp Of The SNF · Individual | 0% | 37 facilities |
| Oliver, Anna | Trustee Of The SNF · Individual | 0% | 23 facilities |
| Purvis, Jenny | Trustee Of The SNF · Individual | 0% | 22 facilities |
| Ronald B. And Cynthia J. Mcneill 2013 Irrevocable Trust | General Partnership Interest · Organization | 0% | 15 facilities |
| Wilson, Jeffrey | Corporate Officer · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Adp Of The SNF · Individual | 0% | 37 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems6F
- D
Have proper medical gas storage and administration areas.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress4F
- D
Meet other general requirements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install proper backup exit lighting.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous2D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D
Have restrictions on the use of portable space heaters.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Construction1F
- F
Use approved construction type or materials.
·
Other homes nearby
-
Bermuda Village Retirement Center
Bermuda Run, NC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $7,976
-
Trinity Elms
Clemmons, NC · Lutheran Services Carolinas
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 46 min
- Fines
- $15,646
-
Cedar Hills Center for Nursing and Rehabilitation
Clemmons, NC · Alliance Health Group · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 42 min
- Fines
- $73,083