Liberty Commons Nursing & Rehabilitation Center of

In the surveyor’s words

From the most serious findings on record at Liberty Commons Nursing & Rehabilitation Center of, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF761Jan 8, 2026

  Based on observations, manufacturer instructions, and staff interviews, the facility failed to date open multi-dose vials of insulin on the 300 hall medication cart, failed to date multi-dose vials of semaglutide (glucagon-like peptide-1 (GLP-1) receptor agonist medication used for managing type 2 diabetes and promoting weight loss) on the 100 hall and 300 hall medication carts, and failed to discard expired a bottle of proton pump inhibitor tablets on the 300 hall medication cart. The failure to date multi dose vials of medication or dispose of expired medication was discovered in 2 of 3 medication carts reviewed for medication storage (100 hall and 300 hall medication carts).Findings Included: 1. […]

• No harm, potential for more than minimal, patternF727Oct 14, 2021

  Based on record reviews and staff interview, the facility failed to schedule a Registered Nurse (RN) for at least 8 consecutive hours a day for 17 of the past 45 days reviewed. The findings included: A review of the facility's Daily Schedules for the past 45 days was conducted. The Daily Schedules indicated a Registered Nurse (RN) was not scheduled for at least 8 consecutive hours a day on the following dates: 9/1/21, 9/2/21, 9/6/21, 9/7/21, 9/9/21, 9/10/21, 9/15/21, 9/16/21, 9/20/21, 9/21/21, 9/29/21, 9/30/21, 10/1/21, 10/4/21, 10/5/21, 10/6/21 and 10/7/21 On 10/14/21 at 12:00 PM, during an interview, the Director of Nursing (DON) revealed she was responsible in collaboration with the Administrator to review the Daily Nurse Staffing form prior to posting it. […]

• No harm, potential for more than minimal, isolatedF602Jan 8, 2026

  Based on record review and staff and detective interviews, the facility failed to protect the resident's right to be free from misappropriation of resident's property, when Resident # 123's responsible party (RP) observed a payment to a staff member on the resident's bank statement. On 3/10/25 the resident's RP observed a payment of $372.94 on the resident's bank statement to an unknown account related to the admission Director. This occurred for 1 of 1 resident reviewed for misappropriation of property (Resident #123).Findings included:Resident #123 was admitted to the facility on [DATE].Review of Resident #123's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was assessed as moderately cognitively impaired.Review of the initial allegation report regarding… […]

• No harm, potential for more than minimal, isolatedF578Sep 27, 2024

  Based on staff interviews and record review, the facility failed to have accurate advanced directive documentation throughout the medical record for 1 of 6 residents reviewed for advanced directives (Resident #51). The findings included: Resident #51 was initially admitted to the facility on [DATE] and had a reentry date of [DATE]. Her diagnoses included cerebral infarction (a disruption to blood supply that is severe enough and long enough in duration to result in tissue death), Type II diabetes, and chronic kidney disease. […]

• No harm, potential for more than minimal, isolatedF695Sep 27, 2024

  Based on observations, record reviews and staff interviews, the facility failed to post cautionary signage outside the resident's room to indicate supplemental oxygen (O2) was in use for 2 of 3 residents reviewed for respiratory care (Resident #63 and Resident #24). The findings included: 1. Resident #63 was admitted to the facility on [DATE] with diagnoses which included chronic respiratory failure, interstitial pulmonary disease (a group of lung disorders that cause inflammation or scarring of the lungs and air sacs), and chronic obstructive pulmonary disease (an ongoing lung condition caused by damage to the lungs). […]