Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Liberty Healthcare Services Of Golden Years Nursin during CMS and state inspections, most recent first.
A resident with a documented diagnosis of depression and receiving antidepressant medication was not accurately coded for depression on the Quarterly MDS assessment. Medical record review and staff interviews confirmed the omission, with facility leadership acknowledging the inaccuracy.
The facility failed to provide adequate nail care for five residents dependent on staff for personal hygiene, including those with chronic obstructive pulmonary disease, diabetes, and Parkinson's disease. Despite care plans indicating the need for assistance, observations showed long, jagged nails. Interviews revealed a lack of awareness and communication among staff regarding nail care needs, particularly for diabetic residents. The corporate nurse, covering for the open DON position, was unaware of these unmet needs.
The facility did not update the PASRR for a resident admitted with major depression and psychotic disorder. The resident's PASRR Level I screen was outdated and incorrectly marked 'no' for a mental health diagnosis, despite the resident being on antipsychotic medication. The Administrator admitted that the absence of a Social Worker led to the oversight, as PASRR review duties were to be shared among administrative staff.
Inaccurate Coding of Depression Diagnosis on MDS Assessment
Penalty
Summary
The facility failed to accurately code the Quarterly Minimum Data Set (MDS) assessment for one resident with a diagnosis of depression. The resident, who had a medical history including hypertension, diabetes mellitus, depression, and hyperlipidemia, was receiving Sertraline, an antidepressant, as documented in the Medication Administration Record (MAR). Despite this, the MDS assessment did not indicate an active diagnosis of depression in Section I5800. This inaccuracy was confirmed through medical record review and staff interviews, with the DON, MDS Coordinator, and Administrator all acknowledging that the MDS was not coded correctly for the resident's depression diagnosis.
Failure to Provide Adequate Nail Care for Dependent Residents
Penalty
Summary
The facility failed to provide adequate nail care for five residents who were dependent on staff for personal hygiene. These residents included individuals with chronic obstructive pulmonary disease, diabetes, and Parkinson's disease, all of whom had documented self-care performance deficits in their care plans. Despite the care plans specifying the need for staff assistance with personal hygiene, including nail care, observations revealed that these residents had long, jagged nails, indicating a lack of proper grooming. Interviews with nursing assistants and nurses revealed a lack of awareness and communication regarding the residents' need for nail care. Nursing Assistant #1, who was responsible for several of the residents, stated that nail care was typically provided during bed baths or showers, but was unaware of the specific needs of the residents she was assigned to. Additionally, there was confusion about the protocol for diabetic residents, as the nursing assistants were instructed to inform nurses if a resident was diabetic, but this was not consistently followed. The facility's corporate nurse, who was covering for the open Director of Nursing position, was not aware of the residents' unmet nail care needs. The corporate nurse confirmed that nursing assistants were expected to provide nail care unless contraindicated, such as in the case of diabetic residents, but this expectation was not met. The lack of communication and adherence to care plans resulted in the deficiency of nail care for these dependent residents.
Failure to Update PASRR for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to apply for an updated Level I Preadmission Screening and Resident Review (PASRR) for a resident admitted with mental health diagnoses. The resident was admitted with diagnoses including major depression and psychotic disorder. However, the most recent PASRR Level I screen, dated 11/16/21, incorrectly marked 'no' to the question regarding a mental health diagnosis. The admission Minimum Data Set (MDS) indicated that the resident was cognitively intact and was taking antipsychotic medication. An interview with the Administrator revealed that there was no Social Worker in the building since the last one resigned, and the responsibility for reviewing the PASRR was supposed to be divided among the administrative staff. The Administrator acknowledged that the resident should have been screened for a PASRR upon admission.
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Illustrative
What surveyors actually found near you
We read the 40 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Falcon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Carrolton Of Dunn | 7.7 mi | ★★★★★ | 5 | 0 |
| Harnett Woods Nursing And Rehabilitation Center | 8.2 mi | ★★★★★ | 0 | 0 |
| Bethesda Health Care Facility | 13.8 mi | ★★★★★ | 3 | 0 |
| Whispering Pines Nursing & Rehab Center | 14.9 mi | ★★★★★ | 0 | 0 |
| Liberty Commons Nursing & Rehabilitation Center Of | 15.6 mi | ★★★★★ | 12 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.