Nursing Care Index

Westfield Rehabilitation And Health Center

Sanford, Lee County, North Carolina · CCN 345216 · For-profit (Corporation) · part of Liberty Senior Living (37 facilities, chain average 2.8 stars)

CMS rates Westfield Rehabilitation And Health Center 4 of 5 overall as of August 2026. 83 certified beds, 79 residents a day on average. 12 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $8,278.

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★★★★☆ 4 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay3 / 2 of 5

Staffing

Total nurse staffing3.30671 hours per resident per day
Registered nurses0.42576 hours per resident per day
Weekend total2.9999 hours per resident per day
Nursing staff turnover48.6% (registered nurses 45.5%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2025-08-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2024-08-23
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-30
2024-08-23
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-08-20
2023-03-09 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-03-28
2023-03-09 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
2023-04-15
2023-03-09 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-15
2023-03-09 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
2023-04-15
2023-03-09 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-03-28
2023-03-09 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-14
2023-03-09 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-14
2023-03-09 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-15
2023-03-09 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has plan of correction
2023-04-14

Fines and payment denials

DatePenaltyAmount
2025-08-21Fine$8,278

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.

NameRoleShareSince
Long Term Care Management Services LLC
Organization
5% or greater direct ownership interest100%2011-03-10
Liberty Long Term Care LLC
Organization
direct ownership interest2025-04-29
John A Mcneill Jr 2012 Irrv Tr
Organization
indirect ownership interest2025-04-29
Liberty Healthcare Group LLC
Organization
indirect ownership interest2025-04-29
Ronald B. And Cynthia J. Mcneill 2013 Irrevocable Trust
Organization
indirect ownership interest2025-04-29
Liberty Healthcare Management Inc.
Organization
operational/managerial control2005-07-01
Long Term Care Management Services LLC
Organization
operational/managerial control2011-03-10
Mcneill, John
Individual
5% or greater direct ownership interest2005-07-01
Mcneill, Ronald
Individual
5% or greater direct ownership interest2005-07-01
Miller, Robert
Individual
adp of the snf2025-04-29
Mitchell, Rajan
Individual
adp of the snf2025-12-08
Osano, Patience
Individual
adp of the snf2025-12-08
Wilson, Jeffrey
Individual
adp of the snf2025-04-29
Mcneill, John
Individual
corporate director2005-08-18
Mcneill, Ronald
Individual
corporate director2005-08-18
Miller, Robert
Individual
corporate director2025-04-29
Mitchell, Rajan
Individual
corporate director2025-04-29
Wilson, Jeffrey
Individual
corporate director2011-03-10
Oliver, Anna
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-08
Purvis, Jenny
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-08
Calcutt, Joseph
Individual
operational/managerial control2011-03-10
Mcneill, John
Individual
operational/managerial control2011-03-10
Mcneill, Ronald
Individual
operational/managerial control2011-03-10
Mitchell, Rajan
Individual
operational/managerial control2025-04-29
Osano, Patience
Individual
operational/managerial control2025-04-29

What changed

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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 Lee County.