Woodhaven Nursing Center
Lumberton, Robeson County, North Carolina · CCN 345054 · For-profit (Corporation) · part of Liberty Senior Living (37 facilities, chain average 2.8 stars)
CMS rates Woodhaven Nursing Center 1 of 5 overall as of August 2026. 115 certified beds, 104 residents a day on average. 24 citations on record from the current inspection cycles, 3 at immediate jeopardy; 3 fines totalling $128,210 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 1 / 3 of 5 |
Staffing
| Total nurse staffing | 3.89442 hours per resident per day |
|---|---|
| Registered nurses | 0.30816 hours per resident per day |
| Weekend total | 3.64719 hours per resident per day |
| Nursing staff turnover | 58.6% (registered nurses 58.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-29 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-01 |
| 2025-08-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-01 |
| 2025-08-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-01 |
| 2025-08-29 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-01 |
| 2025-08-29 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-01 |
| 2025-08-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-01 |
| 2025-08-29 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | No revisit needed 2025-10-01 |
| 2024-09-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-19 |
| 2024-09-12 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-19 |
| 2024-09-12 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-19 |
| 2024-07-31 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-09-12 |
| 2024-07-31 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-09-12 |
| 2024-07-31 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-09-19 |
| 2024-05-31 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-21 |
| 2024-05-31 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-05 |
| 2024-04-24 complaint survey |
Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-31 |
| 2024-04-24 complaint survey |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-31 |
| 2023-12-15 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-12-15 complaint survey |
Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · tag F0745 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-01-11 |
| 2023-05-18 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-05 |
| 2023-05-18 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-26 |
| 2023-05-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-31 |
| 2023-05-18 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-23 |
| 2023-05-18 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2023-05-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-31 | Payment denial for 26 days from 2024-08-24 | — |
| 2024-07-31 | Fine | $94,175 |
| 2024-04-24 | Fine | $9,718 |
| 2023-12-15 | Fine | $24,317 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Liberty Commons Of Robeson County, LLC Organization | 5% or greater indirect ownership interest | — | 2023-10-01 |
| Liberty Real Properties II LLC Organization | 5% or greater indirect ownership interest | — | 2023-10-01 |
| Liberty Real Properties Vii LLC Organization | 5% or greater indirect ownership interest | — | 2023-10-01 |
| Liberty Healthcare Group LLC Organization | adp of the snf | — | 2024-11-20 |
| Liberty Long Term Care LLC Organization | adp of the snf | — | 2024-12-06 |
| Long Term Care Management Services LLC Organization | adp of the snf | — | 2024-12-09 |
| Ronald B. And Cynthia J. Mcneill 2013 Irrevocable Trust Organization | adp of the snf | — | 2024-12-09 |
| Liberty Healthcare Group LLC Organization | indirect ownership interest | — | 2023-10-01 |
| Calcutt, Joseph Individual | adp of the snf | — | 2023-10-01 |
| Kling, Ashley Individual | adp of the snf | — | 2025-08-13 |
| Wilson, Jeffrey Individual | adp of the snf | — | 2023-10-01 |
| Calcutt, Joseph Individual | corporate director | — | 2023-10-01 |
| Wilson, Jeffrey Individual | corporate director | — | 2023-10-01 |
| Wilson, Jeffrey Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-13 |
| Mcneill, John Individual | limited partnership interest | — | 2023-10-01 |
| Kling, Ashley Individual | operational/managerial control | — | 2023-10-01 |
| Mcneill, John Individual | trustee of the snf | — | 2023-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Woodhaven Nursing Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Robeson County.