Federal inspection record · CMS data as of October 1, 2026
Westfield Rehabilitation and Health Center
3100 Tramway Road, Sanford, NC · (919) 775-5404
- Certified beds
- 83
- Residents per day
- 80
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1981
1
How this home got 4 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.
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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
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Westfield Rehabilitation and Health Center carries 17 inspection points. That is fewer than 64% 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
12 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 (1)
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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
Quality of Life and Care4E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning3E
- E
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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights2D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service1E
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-08-21
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-08-23
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-03-09
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 15 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 46% 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
$8,278 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-21 | Fine | $8,278 |
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 days0.8 pts worse | 2.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 2.8 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts better | 99.2% | 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 injury1.4 pts worse | 4.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 2.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.4 pts better | 2.7% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.1 pts better | 9.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 9.1% | 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 worsened2.7 pts better | 13.9% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse | 15.7% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 1.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts worse | 4.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.7 pts worse | 29.6% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 5.9% | 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 visit4.4 pts worse | 17.1% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 90.3% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts worse | 22.4% | 22.2% | 23.4% |
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Who owns and runs it
25 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 |
|---|---|---|---|
| Long Term Care Management Services LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 32 facilities |
| Calcutt, Joseph | Operational/Managerial Control · Individual | 0% | 35 facilities |
| John A Mcneill Jr 2012 Irrv Tr | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Liberty Healthcare Group LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Liberty Healthcare Management Inc | Operational/Managerial Control · Organization | 0% | 24 facilities |
| Liberty Long Term Care LLC | Direct Ownership Interest · Organization | 0% | 13 facilities |
| Long Term Care Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Mcneill, John | 5% Or Greater Direct Ownership Interest · Individual | 0% | 33 facilities |
| Mcneill, John | Corporate Director · Individual | 0% | 33 facilities |
| Mcneill, John | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Mcneill, Ronald | 5% Or Greater Direct Ownership Interest · Individual | 0% | 31 facilities |
| Mcneill, Ronald | Corporate Director · Individual | 0% | 31 facilities |
| Mcneill, Ronald | Operational/Managerial Control · Individual | 0% | 31 facilities |
| Miller, Robert | Corporate Director · Individual | 0% | 37 facilities |
| Miller, Robert | Adp Of The SNF · Individual | 0% | 37 facilities |
| Mitchell, Rajan | Corporate Director · Individual | 0% | 1 facilities |
| Mitchell, Rajan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mitchell, Rajan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oliver, Anna | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 23 facilities |
| Osano, Patience | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Osano, Patience | Adp Of The SNF · Individual | 0% | 1 facilities |
| Purvis, Jenny | Individual Is An Owner, Partner Or Trustee Of Any Adp 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 Director · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Adp Of The SNF · Individual | 0% | 37 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4D
- D
Provide properly protected cooking facilities.
- 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 a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
Services2D
- D
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.
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Liberty Commons Nursing and Rehabilitation Center
Sanford, NC · Liberty Senior Living
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0
-
Sanford Health & Rehabilitation Co
Sanford, NC · Sanstone Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $10,527
-
Peak Resources - Pinelake
Carthage, NC · Peak Resources, Inc.
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 24 min
- Fines
- $7,901