Federal inspection record · CMS data as of October 1, 2026
Woodhaven Nursing Center
1150 Pine Run Drive, Lumberton, NC · (910) 671-5703
- Certified beds
- 115
- Residents per day
- 107
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 15, 1969
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.
-
Quality measures
★★★★★no change (already 1)
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.
2
Where it sits among North Carolina homes
Woodhaven Nursing Center carries 156.75 inspection points. That is fewer than 6% 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
29 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 (7)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
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K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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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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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Everything else, by area of care
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
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.
- E
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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Assessment and Care Planning4D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- B
Ensure each resident receives an accurate assessment.
Quality of Life and Care3E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Administration2E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-08-29
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
2024-09-12
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-05-18
14 health deficiencies · 4 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 37 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
3 h 37 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% of nursing staff and 42% 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
$145,365 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-07-09 | Fine | $8,577 |
| 2026-07-09 | Fine | $8,578 |
| 2024-07-31 | Fine | $94,175 |
| 2024-07-31 | Payment Denial · 26 day denial | $0 |
| 2024-04-24 | Fine | $9,718 |
| 2023-12-15 | Fine | $24,317 |
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 days1.9 pts worse | 3.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days3.6 pts worse | 5.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts better | 97.2% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts worse | 93.8% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 0.8% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.5 pts better | 1.3% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts better | 6.5% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 21.0% | 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 worsened12.3 pts worse | 28.9% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.3 pts worse | 18.3% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 3.1% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse | 21.1% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 8.8% | 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 visit0.7 pts worse | 13.4% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts worse | 2.2% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.6 pts better | 90.7% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5 pts worse | 27.2% | 22.2% | 23.4% |
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Who owns and runs it
17 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 | Corporate Director · Individual | 0% | 35 facilities |
| Calcutt, Joseph | Adp Of The SNF · Individual | 0% | 35 facilities |
| Kling, Ashley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kling, Ashley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Liberty Commons Of Robeson County, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Liberty Healthcare Group LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Liberty Healthcare Group LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Liberty Long Term Care LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Liberty Real Properties Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Liberty Real Properties Vii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Long Term Care Management Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Mcneill, John | Limited Partnership Interest · Individual | 0% | 33 facilities |
| Mcneill, John | Trustee Of The SNF · Individual | 0% | 33 facilities |
| Ronald B. And Cynthia J. Mcneill 2013 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 15 facilities |
| Wilson, Jeffrey | Corporate Director · 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
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6F
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have proper medical gas storage and administration areas.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress5F
- 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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- D
Have properly located and lighted "Exit" signs.
Smoke3E
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
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.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
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.
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Other homes nearby
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Wesley Pines Retirement Community
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 9 min
- Fines
- $0
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The Carrolton of Lumberton
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 39 min
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-
Harborview Lumberton
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★★★★★- Worst citation, 3 yrs
- E
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