Federal inspection record · CMS data as of October 1, 2026
Mary Gran Nursing Center
120 Southwood Drive, Clinton, NC · (910) 592-7981
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 212
- Residents per day
- 100
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 1981
1
How this home got 1 star
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.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among North Carolina homes
Mary Gran Nursing Center carries 222.5 inspection points. That is fewer than 2% 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
27 health citations on record since 2023. 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 (5)
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J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
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.
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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
Pharmacy Service6E
- 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.
- E
Ensure that residents are free from significant medication errors.
- E
Ensure that residents are free from significant medication errors.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Ensure that residents are free from significant medication errors.
Quality of Life and Care5E
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide routine and 24-hour emergency dental care for each resident.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration3D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-08-14
8 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-08-12
3 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-03-23
16 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 25 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 49% of nursing staff and 13% 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
$68,172 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-14 | Fine | $68,172 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts better | 99.5% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 1.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.8% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 6.8% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 22.5% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.8 pts worse | 16.7% | 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 worsened4.4 pts better | 12.2% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 9.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.9% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.6 pts worse | 5.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 22.7% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.8 pts worse | 8.2% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.8 pts better | 94.3% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.9 pts worse | 22.6% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.3 pts better | 93.4% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts worse | 24.8% | 22.2% | 23.4% |
·
Who owns and runs it
18 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 | Adp Of The SNF · Individual | 0% | 35 facilities |
| Liberty Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 24 facilities |
| Liberty Healthcare Properties Of Southwood LLC | Adp Of The SNF · Organization | 0% | 2 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 | Corporate Director · Individual | 0% | 33 facilities |
| Mcneill, John | Trustee Of The SNF · Individual | 0% | 33 facilities |
| Mcneill, John | Adp Of The SNF · Individual | 0% | 33 facilities |
| Mcneill, Ronald | Corporate Director · Individual | 0% | 31 facilities |
| Mcneill, Ronald | Adp Of The SNF · Individual | 0% | 31 facilities |
| Miller, Robert | Corporate Director · Individual | 0% | 37 facilities |
| Miller, Robert | Adp Of The SNF · Individual | 0% | 37 facilities |
| Spell, Marilynn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spell, Marilynn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wilson, Jeffrey | Corporate Officer · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Adp Of The SNF · Individual | 0% | 37 facilities |
| Wilson, Robert | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services4F
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- 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.
Egress4F
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Use approved construction type or materials.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Southwood Nursing and Retirement
Clinton, NC · Liberty Senior Living
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 34 min
- Fines
- $8,512
-
Warsaw Rehabilitation and Healthcare Center
Warsaw, NC · Yad Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 12 min
- Fines
- $43,924
-
Kenansville Rehabilitation and Healthcare Center
Kenansville, NC · Yad Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 30 min
- Fines
- $0