Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Liberty Commons Nursing & Rehabilitation Center of

Burlington, NC · 122 certified beds · Last Life Safety survey September 27, 2024

CMS Certification Number 345496 · first certified October 1999

Ownership

Operated by LIBERTY SENIOR LIVING · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NC

8 citations — more than 34% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (November 2025 to January 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was September 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

This facility8NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-1062023-0622024-09
Citations at each Life Safety survey
Survey dateCitations
October 14, 20210
June 8, 20236
September 27, 20242

Most-cited tags

Most-cited tags at this facility
K-05211K-03531K-03621K-03411K-09141K-03721K-03631K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-09-27
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-06-08
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12023-06-08
K-0341Install a fire alarm system that can be heard throughout the facility.12023-06-08
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-06-08
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12023-06-08
K-0363Install corridor and hallway doors that block smoke.12024-09-27
K-0511Have properly installed electrical wiring and gas equipment.12023-06-08

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 27, 2024 — 2 citations

Citations issued on September 27, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 29, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 29, 2024)

June 8, 2023 — 6 citations

Citations issued on June 8, 2023
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (August 20, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 20, 2023)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (August 20, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 20, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 20, 2023)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (August 20, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.