Federal inspection record · CMS data as of October 1, 2026
Warren Hills Nursing Center
864 US HWY 158 Business West, Warrenton, NC · (252) 257-2011
- Certified beds
- 140
- Residents per day
- 92
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1983
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.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Warren Hills Nursing Center carries 32 inspection points. That is fewer than 45% 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
17 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service4E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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
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
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.
Quality of Life and Care4D
- D
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.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights3E
- E
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 share a room with spouse or roommate of choice and receive written notice before a change is made.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-02-26
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-11-21
5 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-09-14
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 19 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 19 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 63% 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
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 vaccine20.4 pts worse | 72.0% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.5 pts better | 95.2% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts worse | 3.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.1 pts better | 0.7% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts worse | 10.6% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better | 17.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.3 pts worse | 14.2% | 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 worsened5.8 pts better | 10.8% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.1 pts better | 10.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 2.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 3.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts worse | 22.2% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.8 pts worse | 9.2% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine67.4 pts worse | 14.1% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit8.8 pts worse | 21.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine72.2 pts worse | 8.9% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission11.5 pts better | 10.7% | 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
| Name | Role | Share | Homes |
|---|---|---|---|
| Bogonko, Nelson | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bogonko, Nelson | Adp Of The SNF · Individual | 0% | 1 facilities |
| Calcutt, Joseph | Corporate Officer · Individual | 0% | 35 facilities |
| Calcutt, Joseph | Adp Of The SNF · Individual | 0% | 35 facilities |
| John A Mcneill Jr 2012 Irrv Tr | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| John A Mcneill Jr 2014 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 9 facilities |
| Kenney, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kenney, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Liberty Healthcare Group LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Liberty Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 24 facilities |
| Liberty Healthcare Properties Of Warren County, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Liberty Long Term Care LLC | Direct Ownership Interest · Organization | 0% | 13 facilities |
| Liberty Real Properties Ii LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Long Term Care Management Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Mcneill, John | Indirect Ownership Interest · Individual | 0% | 33 facilities |
| Mcneill, John | Adp Of The SNF · Individual | 0% | 33 facilities |
| Mcneill, Robert | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Mcneill, Ronald | Indirect Ownership Interest · 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 |
| 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 | Indirect Ownership Interest · Organization | 0% | 15 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 |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Install corridor and hallway doors that block smoke.
- D
Inspect, test, and maintain automatic sprinkler systems.
- 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 corridor and hallway doors that block smoke.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Construction2E
- E
Use approved construction type or materials.
- D
Use approved construction type or materials.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
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Camellia Gardens Center for Nursing and Rehab
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 15 min
- Fines
- $92,104
-
Kerr Lake Nursing and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 35 min
- Fines
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-
Senior Citizens Home
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 11 min
- Fines
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