Liberty Health Care Center

In the surveyor’s words

From the most serious findings on record at Liberty Health Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Mar 19, 2026

  Based on interview and record review the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 11 residents (Resident #1) reviewed quality of care. LVN C did not immediately assess Resident #1 after she was informed Resident #1 had left leg swelling on 03/07/26 at approximately 5:15 a.m. LVN B assessed Resident #1 at approximately 6:40 a.m. (after being asked by LVN C) on 03/07/26 and discovered discoloration to arms and legs and pain when touched. The noncompliance was identified as PNC (past noncompliance). The IJ began on 03/07/26 and ended on 03/10/26. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF689Mar 19, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 11 (Resident #1) residents reviewed for accidents. The facility failed to ensure CNA A performed a 2 person Hoyer lift transfer for Resident #1. CNA A transferred Resident #1 from wheelchair to bed, Resident #1 sustained a fractured left tibia (shin bone) and fibula (calf bone), avulsion injuries (skin torn away from its normal attachment) to her bilateral upper extremities, a large bruise on her back and a scratch to her forehead on 03/06/26. Resident #1 required surgical intervention. The noncompliance was identified as PNC (past noncompliance). The IJ began on 03/06/26 and ended on 03/10/26. […]

• Immediate jeopardy, isolatedF607May 9, 2025

  Based on interview and record review, the facility failed to implement written policies and procedures that prohibit and prevent abuse of residents, for 1 of 10 residents (Resident #2) reviewed for abuse. 1. The facility failed to ensure residents were free from abuse. *On 03/29/25 HSK A had a verbally aggressive argument with Resident #2 over cigarettes. Resident #2 told HSK A she wished she would shut up and HSK A got up from her chair and told Resident #2 to make her shut up. 2. The facility failed to ensure allegations of abuse were reported to the Abuse Coordinator Immediately. *HSK B wrote a concern form and left it in the mailbox outside of the HR door on 03/29/25 about the witnessed verbal exchange between Resident #2 and HSK A. 3. […]

• Immediate jeopardy, isolatedF609May 9, 2025

  Based on interviews and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported, immediately but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or bodily injury, to the administrator of the facility and to other officials, including the State Survey Agency in accordance with State law through established procedures for 1 of 10 residents (Resident #2) reviewed for reporting allegations of abuse. […]

• Immediate jeopardy, isolatedF656May 9, 2025

  Based on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, which included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 10 residents (Resident #1) reviewed for care plans. The facility failed to develop and implement Resident #1's care plan to prevent suicide or self harm after she said she wanted to kill herself on 10/23/24. An Immediate Jeopardy (IJ) was identified on 05/07/25 at 4:35 p.m. The IJ template was provided to the Administrator on 05/07/25 at 4:54 p.m. […]