F54

Woodhaven Nursing Center

Grade F 54/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
2/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

115

Ownership

For profit - Corporation

Total Fines

$128,210

Last Survey

N/A

1150 Pine Run Drive, Lumberton, NC 28358
9106715703

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.27h
LPN
1.15h
CNA
2.42h
Total
3.84h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LIBERTY LONG TERM CARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Oct 2023

100%

JOHN A MCNEILL JR 2012 IRRV TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

LIBERTY COMMONS OF ROBESON COUNTY, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

LIBERTY REAL PROPERTIES II LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

LIBERTY REAL PROPERTIES VII LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

RONALD B AND CYNTHIA J MCNEILL 2013 IRRV TR

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

MCNEILL, RONALD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Oct 2023

MCNEILL, JOHN

IndividualLIMITED PARTNERSHIP INTERESTSince Oct 2023

KLING, ASHLEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2023

CALCUTT, JOESEPH V

IndividualCORPORATE DIRECTORSince Oct 2023

WILSON, JEFFREY

IndividualCORPORATE DIRECTORSince Oct 2023

Penalties & Fines (4)

$128,210total fines
DateTypeDescriptionAmount
Jul 31, 2024Fine$94,175
Jul 31, 2024Payment Denial
Apr 24, 2024Fine$9,718
Dec 15, 2023Fine$24,317

Health Inspection Deficiencies (24)

August 29, 2025Health7 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Oct 1, 2025
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Oct 1, 2025
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Oct 1, 2025
0761DMinimal harm, Isolated

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

Corrected Oct 1, 2025
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Oct 1, 2025
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 1, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 1, 2025
September 12, 2024Health3 deficiencies
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 19, 2024
0756DMinimal harm, Isolated

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

Corrected Sep 19, 2024
0761EMinimal harm, Pattern

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

Corrected Sep 19, 2024
July 31, 2024Health3 deficiencies3 severe
0600JImmediate jeopardy, Isolated

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

Corrected Sep 12, 2024
0607KImmediate jeopardy, Pattern

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 12, 2024
0684JImmediate jeopardy, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Sep 19, 2024
May 31, 2024Health2 deficiencies
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jun 21, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 5, 2024
April 24, 2024Health2 deficiencies
0745EMinimal harm, Pattern

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies

Corrected May 31, 2024
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected May 31, 2024
December 15, 2023Health2 deficiencies2 severe
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Jan 11, 2024
0745GActual harm, Isolated

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies

Corrected Jan 11, 2024
May 18, 2023Health5 deficiencies
0625EMinimal harm, Pattern

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

Corrected Jun 5, 2023
0637DMinimal harm, Isolated

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected May 26, 2023
0641BNo harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected May 19, 2023
0657DMinimal harm, Isolated

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

Corrected May 31, 2023
0867DMinimal harm, Isolated

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected May 23, 2023

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Frequently Asked Questions

What is the CareGrader rating for Woodhaven Nursing Center?

Woodhaven Nursing Center in Lumberton, North Carolina has a CareGrader grade of F (Poor), with a composite score of 54 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Woodhaven Nursing Center?

Woodhaven Nursing Center has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Woodhaven Nursing Center have?

Woodhaven Nursing Center has 24 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Woodhaven Nursing Center been fined?

Yes. Woodhaven Nursing Center has $128,210 in total fines from CMS enforcement actions across 4 penalties.

How many beds does Woodhaven Nursing Center have?

Woodhaven Nursing Center has 115 certified beds with approximately 108 current residents (94% occupancy). The facility is located at 1150 Pine Run Drive, Lumberton, North Carolina 28358. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.