Liberty Commons Nsg and Rehab Ctr of Rowan County

In the surveyor’s words

From the most serious findings on record at Liberty Commons Nsg and Rehab Ctr of Rowan County, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Apr 28, 2023

  Based on observations, record review and staff, resident, Nurse Practitioner, and Law Enforcement Detective interviews the facility failed to protect Resident #1 right to be free from sexual abuse by Resident #2, who was his roommate. Resident #1 was severely cognitively impaired and did not have the capacity to consent to sexual activity. Resident #2 had intact cognition. On 3/30/23 Resident #2 was observed by two Nurse Aides (NA #1 and NA #2) at Resident #1's bedside. Resident #1's brief was opened, and Resident #2 was rubbing Resident #1's penis with his hand. Using the reasonable person concept, all residents would expect to be free from sexual abuse in their home and could experience anger, anxiety, fear, and depression. This was for 1 of 3 residents reviewed for resident abuse. […]

• No harm, potential for more than minimal, widespreadF812Nov 19, 2025

  Based on observations and staff interviews, the facility failed to: label and date leftover food stored for use in 1 of 1 walk-in cooler and 1 of 1 walk-in freezer and discard food showing signs of spoilage or past its use-by date in the walk-in cooler; monitor dish machine temperatures; and maintain a clean kitchen ice machine. These practices had the potential to affect food served to residents. The findings included:a. During an initial observation of the facility's kitchen with the Assistant Dietary Manager on 9/22/2025 at 10:36 AM, the walk-in cooler was noted to have the following concerns: -An opened and unlabeled 5-pound (lb.) bag of fancy shredded cheese.-An opened and unlabeled 5-pound (lb.) bag of romaine lettuce with signs of spoilage (brownish/ blackish in color lettuce leaves… […]

• No harm, potential for more than minimal, widespreadF727Dec 15, 2023

  Based on record reviews and staff interviews, the facility failed to use the services of a Registered Nurse (RN) for 8 consecutive hours per day for 10 of 10 dates reviewed (7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9/9/23). The findings included: The Payroll Based Journal (PBJ) data report for fiscal year 2023, the quarter from 7/1/23 to 9/30/23 was reviewed. The report indicated the facility had the following days within the quarter with no Registered Nurse (RN) hours: 7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9/9/23. The nursing schedules for 7/8/23, 7/15/23, 7/22/23, 7/23/23, 8/20/23, 8/26/23, 8/27/23, 9/2/23, 9/3/23, and 9//9/23 were reviewed. No RN was scheduled to work on the reviewed dates. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2022

  Based on observations and staff interview, the facility failed to maintain sanitary conditions in the kitchen and in 1 of 2 nourishment rooms by not ensuring food items were not stored on the floor; by not ensuring resealed food items were dated/labeled; by not ensuring food service equipment remained free from debris; and by not ensuring dietary staff wore hair covering while preparing meal trays on the meal trayline. Findings included: 1. During the initial tour of the kitchen on 5/9/22 at 11:15 a.m., there were 2-cases labeled dinner napkins stored on the floor of the dry storage room and 2-cases (chicken and ground beef) stored on a large sheet tray beneath a storage rack in the walk-in freezer. […]

• No harm, potential for more than minimal, patternF584Sep 11, 2024

  Based on observations, record reviews, staff, and resident interviews the facility failed to maintain resident areas and equipment in a safe and sanitary manner for 2 of 3 shower (Shower room [ROOM NUMBER] on the 200 hall, Shower room [ROOM NUMBER] on the 300 hall), clean wheelchairs for 4 of 7 Resident's wheelchairs (Resident #24, Resident #132, Resident # 64, and Resident #3), and repair a wall behind the bed (room [ROOM NUMBER] bed A) for 1 of 10 rooms reviewed for environmental concerns. The findings included: 1a. On 09/09/24 at 3:38 PM the entrance door of the 200 hall shower room [ROOM NUMBER] was propped open. Upon entering the shower room, a rancid odor permeated the entire shower room causing the surveyor to feel nauseous until the morning of 09/10/24. […]