Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Liberty Station Health Campus during CMS and state inspections, most recent first.
A resident with hemiparesis, hemiplegia, and significant bed mobility needs fell out of bed during incontinence care when a CNA rolled him away from her and he slid off the bed. The resident hit his head and nose, reported pain, and was sent to the hospital where he was diagnosed with a comminuted nasal bone fracture and multiple abrasions. Witness statements and the investigation noted the resident had left-sided weakness and fatigue, and the CNA had been unable to obtain help before completing the care alone.
Unsanitary Food Storage and Preparation Practices: Surveyors observed a dietary staff member cooking with hair not fully contained by a hair net, exposed and unlabeled food items in the freezer, ice buildup and water leakage in the freezer, and ice cream scoops stored in dirty water and on a cart with dried food residue. The DM verified the findings, and the KA confirmed the dirty scoops.
Uncovered Kitchen Trash Receptacle: A large 55-gallon trash can next to the oven was observed full of trash and food refuse with no lid in place during kitchen operations. The DM verified the receptacle was uncovered, despite facility policy stating garbage receptacles are to be covered at all times except during active use or transport to the dumpster area.
An LPN committed three medication administration errors for a resident with CHF, COPD, and anxiety, resulting in a 9.09% error rate. The LPN gave buspirone 10 mg instead of the ordered 7.5 mg, could not locate the ordered Lidoderm patch, and allowed the resident to self-administer Flonase without an order to self-administer; the resident used more sprays than ordered.
Untimely Significant Change MDS Assessments for Hospice Residents: The facility failed to complete significant change MDS assessments within the required timeframe for two residents on Hospice. One resident had CHF, severe cognitive impairment, and total ADL dependence, while another had CHF, CKD, dysphagia, and CVA-related conditions; both had Hospice orders, but one assessment was completed late and the other had not been completed. The Assessment Support Nurse confirmed the assessments were not completed timely per RAI guidelines.
Two dependent residents did not receive needed grooming assistance. One resident on hospice with CHF and cognitive impairment remained unshaven despite a stated schedule and a request for help, while another resident with stroke-related hemiplegia and severe cognitive impairment was repeatedly observed with disheveled hair and facial hair on the chin and neck. A CNA confirmed the grooming need had not been addressed, and the regional nurse stated the facility followed state and local guidelines for personal care.
Failure to Maintain Safe Bed Mobility During Personal Care
Penalty
Summary
The facility failed to provide adequate assistance with bed mobility during incontinence care, and a resident fell out of bed while being changed. Resident #52 had diagnoses including hemiparesis and hemiplegia following a nontraumatic intracerebral hemorrhage affecting the left non-dominant side, paroxysmal atrial fibrillation, hypertensive heart failure, diabetes, and skin cancer. The resident was cognitively intact, was dependent on staff for transfers, and required substantial or maximal assistance with bed mobility. An OT note also documented that the resident required moderate assistance for positioning in bed and had reported increased fatigue. On the morning of the incident, CNA #110 was providing personal care in bed when the resident was rolled away from her. The resident then rolled off the left side of the bed and landed on the floor near the nightstand. The nurse found the resident on the floor after the fall. The resident hit his head and nose, reported pain to his head, nose, and right arm, and had open areas to the right side of the nose, right anterior knee, and right upper outer arm. The resident was transferred to the hospital and was diagnosed with a comminuted displaced bilateral nasal bone fracture and abrasions to the facial area, right knee, right upper arm, and right hip. The investigation documents and witness statements indicated that CNA #110 was changing the resident in bed when he slid out of bed during care. CNA #110 stated she had requested help from another staff member, but that staff member was called away to assist another resident, so she completed the incontinence care alone. The resident had left-sided weakness and deficits related to stroke, and the facility record noted that he was on antihypertensives, diuretics, and narcotics and had weakness and fatigue at the time of the event.
Unsanitary Food Storage and Preparation Practices
Penalty
Summary
The facility failed to provide sanitary storage and preparation of food. During observation of the kitchen, a dietary staff member was seen cooking a hamburger on the grill while wearing a hair net that only covered the top of her head, with hair hanging out around the net. The staff member confirmed that the hair net was not covering all of her hair. In the walk-in freezer, surveyors observed an opened box with a ripped plastic bag containing exposed, unlabeled hash brown patties, and a metal pan holding two frozen scrambled eggs on wax paper with no wrap or label. The freezer fans were covered with ice buildup and there was a large buildup of ice in the middle of the floor. The Dietary Manager verified these findings and stated the freezer fans needed to be fixed and that water was leaking onto the floor. In addition, an ice cream cart had a metal bowl with two ice cream scoops resting in dirty water, and another scoop was laying directly on the cart with dried ice cream stuck to it. The Kitchen Aid verified the dirty scoops, and the Dietary Manager stated ice cream had been served the previous night.
Uncovered Kitchen Trash Receptacle
Penalty
Summary
The facility failed to ensure that refuse in the kitchen was properly covered. During observation of the kitchen, a large 55-gallon trash can next to the oven was seen containing trash and had no lid in place. On a later observation, staff were prepping and cooking food for the lunch meal while the same 55-gallon trash can was full of food refuse and other trash and still had no lid in place. The Dietary Manager verified the trash can was full and uncovered. Review of the facility policy titled Garbage and Refuse, dated 01/2023, stated that garbage and refuse will be stored and disposed of daily in a sanitary manner and that garbage receptacles will be lined with sturdy garbage bags and covered at all times except for active use and when being transported to the dumpster area.
Medication Administration Errors During Observation
Penalty
Summary
Medication administration errors occurred for one resident during observation, resulting in three errors out of 33 opportunities and a 9.09% error rate. Resident #08 was admitted with diagnoses including hypertensive heart disease with heart failure, congestive heart failure, chronic obstructive pulmonary disease, thoracic pain, and anxiety. The resident’s quarterly MDS indicated the resident was cognitively intact and required supervision with eating and toilet hygiene, along with set-up assistance for bed mobility and transfers. The resident had physician orders for Flonase Allergy Relief 50 mcg, two sprays in each nostril daily; buspirone 7.5 mg twice daily; and Lidoderm 5% patch applied twice daily. During observation, an LPN prepared and administered buspirone 10 mg instead of the ordered 7.5 mg dose, was unable to prepare the Lidoderm patch because it was not available, and handed the resident Flonase nasal spray to self-administer. The resident then administered five sprays into the right nostril and four sprays into the left nostril, although the LPN stated the resident did not have an order to self-administer medications. The facility policy required medications to be administered as prescribed and, if a medication could not be located, for further search and pharmacy contact to occur.
Untimely Significant Change MDS Assessments for Hospice Residents
Penalty
Summary
The facility failed to complete significant change MDS assessments timely for two residents receiving Hospice services. Resident #04 was admitted with diagnoses including metabolic encephalopathy, asthma, atrial fibrillation, CHF, and hypertensive heart disease with heart failure. A physician order was entered for Hospice services for terminal CHF, and the resident’s significant change MDS showed severe cognitive impairment, dependence on staff for all ADLs, and Hospice status, but the assessment was not signed as completed until after the required timeframe. Resident #35 was admitted with diagnoses including hypertensive heart and chronic kidney disease with heart failure, CHF, diabetes mellitus, dysphagia, and cerebral ischemia. A physician order was entered to admit the resident under Hospice services for terminal dysphagia related to late effects of CVA, and the resident had a significant change MDS with an ARD documented, but the assessment had not been completed. The Assessment Support Nurse stated the facility used the RAI manual for MDS policy and procedures and that significant change MDS assessments were to be completed 14 days after enrollment onto Hospice services; the nurse confirmed the assessments for Residents #04 and #35 were not completed timely as per RAI guidelines.
Failure to Provide Grooming Assistance for Dependent Residents
Penalty
Summary
The facility failed to meet grooming needs for two residents who were dependent on staff for activities of daily living. One resident, admitted with diagnoses including malignant neoplasm of the bladder, type 2 diabetes, and benign neoplasm of the prostate, had a BIMS score of 11 and was dependent on staff for all ADLs. The resident was admitted under hospice services for terminal congestive heart failure. On observation, the resident had facial hair on the chin and cheeks, stated a preference to only have a mustache, and said he was supposed to be shaved every Monday, Wednesday, and Friday. He later remained unshaved and stated he had asked an aide for help hours earlier but she did not return, and he was upset because a visitor was coming soon. A second resident, admitted with hemiplegia and hemiparesis following cerebral infarction, abnormal posture, neuromuscular dysfunction of the bladder, acute kidney failure, and urinary retention, had a BIMS score of 02 and was dependent or required substantial/maximal assistance for ADLs. Observations showed the resident lying in bed with disheveled hair, wearing a nightgown, and having facial hair on the chin and neck about one half inch long. The resident was later seen dressed for the day and eating in the dining room, but still had facial hair on the chin and cheeks, and on a later observation still had one half inch long hair around the chin and neck. A CNA verified the facial hair and stated she had not offered to trim it. The regional nurse stated the facility did not have a policy on ADL and followed state and local guidelines for personal care.
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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 Liberty Twp
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gateway Springs Health Campus | 1.4 mi | ★★★★★ | 4 | 0 |
| Hamilton Respiratory And Nursing Center | 2 mi | ★★★★★ | 14 | 0 |
| Glen Meadows | 2 mi | ★★★★★ | 4 | 0 |
| Residence At Huntington Court | 2.2 mi | ★★★★★ | 2 | 0 |
| Birchwood Care Center | 2.6 mi | ★★★★★ | 0 | 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 October 2026) and official state health department websites.