Federal inspection record · CMS data as of October 1, 2026

Elizabethtown Healthcare & Rehab Center

208 Mercer Mill Road, Elizabethtown, NC · (910) 862-8181

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
94
Residents per day
90
Ownership
For-Profit
Chain
Liberty Senior Living
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 1, 1981

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Elizabethtown Healthcare & Rehab Center carries 25 inspection points. That is fewer than 53% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 25 pts · 3★

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

6 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

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)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 16, 2025 · Standard inspection · Quality of Life and Care · F689 · Corrected August 9, 2025

Everything else, by area of care

Nutrition and Dietary1D
  1. D

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

    September 16, 2025 · Standard · F812 · Corrected September 17, 2025

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    September 16, 2025 · Standard · F880 · Corrected September 17, 2025

Environmental1D
  1. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    September 16, 2025 · Standard · F919 · Corrected September 17, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    September 26, 2024 · Complaint · F607 · Corrected September 13, 2024

Resident Rights1B
  1. B

    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.

    September 26, 2024 · Complaint · F584 · Corrected October 26, 2024

Inspection history

  1. 2025-09-16

    4 health deficiencies · 9 fire-safety deficiencies

    Top issue: Environmental (1 deficiency)

  2. 2024-09-26

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2023-06-22

    0 health deficiencies · 1 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 37 min of it from a registered nurse.

This home

3 h 17 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 45% of nursing staff and 9% of registered nurses left in the past year.

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

$8,788 in federal fines on record over the past three years.

DatePenaltyAmount
2025-09-16Fine$8,788

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better100.0%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better0.7%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms6.8 pts better0.0%6.8%13.5%
Percentage of long-stay residents who lose too much weight0.1 pts better7.0%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12 pts better9.1%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts better3.3%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1 pts better15.6%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse15.6%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts worse1.4%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better2.0%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts better19.8%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.6 pts worse8.0%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.6 pts better96.1%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.3 pts worse19.0%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.7 pts better94.8%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts worse27.9%22.2%23.4%

·

Who owns and runs it

27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Barrow, LoriOperational/Managerial Control · Individual0%1 facilities
Barrow, LoriAdp Of The SNF · Individual0%1 facilities
Calcutt, JosephOperational/Managerial Control · Individual0%35 facilities
Calcutt, JosephAdp Of The SNF · Individual0%35 facilities
Caquias Gonzalez, EileenOperational/Managerial Control · Individual0%3 facilities
Caquias Gonzalez, EileenAdp Of The SNF · Individual0%3 facilities
John A Mcneill Jr 2012 Irrv TrIndirect Ownership Interest · Organization0%16 facilities
John A Mcneill Jr 2014 Irrevocable TrustAdp Of The SNF · Organization0%9 facilities
Liberty Healthcare Group LLCIndirect Ownership Interest · Organization0%22 facilities
Liberty Healthcare Management IncAdp Of The SNF · Organization0%24 facilities
Liberty Healthcare Properties Of Bladen County,llcAdp Of The SNF · Organization0%1 facilities
Liberty Long Term Care LLCDirect Ownership Interest · Organization0%13 facilities
Liberty Real Properties Ii LLCAdp Of The SNF · Organization0%8 facilities
Long Term Care Management Services LLCAdp Of The SNF · Organization0%32 facilities
Mcneill, JohnIndirect Ownership Interest · Individual0%33 facilities
Mcneill, JohnAdp Of The SNF · Individual0%33 facilities
Mcneill, RobertTrustee Of The SNF · Individual0%19 facilities
Mcneill, RonaldIndirect Ownership Interest · Individual0%31 facilities
Mcneill, RonaldAdp Of The SNF · Individual0%31 facilities
Miller, RobertOperational/Managerial Control · Individual0%37 facilities
Miller, RobertAdp Of The SNF · Individual0%37 facilities
Oliver, AnnaTrustee Of The SNF · Individual0%23 facilities
Purvis, JennyTrustee Of The SNF · Individual0%22 facilities
Ronald B And Cynthia J Mcneil 2014 Irrevocable TrustAdp Of The SNF · Organization0%8 facilities
Ronald B. And Cynthia J. Mcneill 2013 Irrevocable TrustIndirect Ownership Interest · Organization0%15 facilities
Wilson, JeffreyOperational/Managerial Control · Individual0%37 facilities
Wilson, JeffreyAdp Of The SNF · Individual0%37 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6E
  1. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 26, 2024 · K353 · Corrected December 7, 2024

  2. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 26, 2024 · K321 · Corrected December 7, 2024

  3. D

    Have an alternate power supply for its alarm system.

    September 26, 2024 · K344 · Corrected December 7, 2024

  4. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    September 26, 2024 · K345 · Corrected December 7, 2024

  5. D

    Install corridor and hallway doors that block smoke.

    September 26, 2024 · K363 · Corrected December 7, 2024

  6. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 26, 2024 · K372 · Corrected December 7, 2024

Gas, Vacuum, and Electrical Systems3F
  1. E

    Have generator or other power source capable of supplying service within 10 seconds.

    September 26, 2024 · K918 · Corrected December 7, 2024

  2. D

    Have proper medical gas storage and administration areas.

    September 26, 2024 · K923 · Corrected December 7, 2024

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    March 3, 2022 · K918 · Corrected March 30, 2022

Services2F
  1. E

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    September 26, 2024 · K521 · Corrected December 7, 2024

  2. F

    Have properly installed electrical wiring and gas equipment.

    June 22, 2023 · K511 · Corrected August 29, 2023

·

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