Map showing the location of Woodhaven Nursing Center in Lumberton, North Carolina
1150 Pine Run Drive, Lumberton, NC, 28358

Overall Score

CMS Five-Star Quality Rating
1/5Much below averageCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

  • North CarolinaLowest tier among peers417 rated homes · average 2.9★
  • Robeson CountyLowest tier among peers6 rated homes · average 2.0★
  • United StatesLowest tier among peers14,574 rated homes · average 3.0★

How the rating is built

  • Health inspectionsStarting point1★−1.9 vs NC avg
  • StaffingCan add or remove a star2★−0.7 vs NC avg
  • Quality measuresCan add or remove a star2★−1.2 vs NC avg

CMS starts from the health inspection stars, then adds or subtracts a star for staffing and for quality measures. Stars are assigned relative to other facilities in the same state.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cycles1★Lowest tier among peersNC avg2.9★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnover2★Above only 17% of peersNC avg2.7★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessments2★Above only 8% of peersNC avg3.2★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staff3.61hrsAbove 55% of peersNC avg3.78Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses only0.26hrsAbove only 4% of peersNC avg0.59Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is better64%Above only 18% of peersNC avg50%RN turnover77%
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$128,210Above only 12% of peersNC avg$45,050Fines · denials3 · 1
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
24citations
7inspection dates
2actual harm (G–I)
3immediate jeopardy (J–L)
Aug 29, 2025most recent

Citations by monthMay 2023 – Aug 2025

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Aug 29, 20257 citationsCycle 1worst E · no actual harm
  1. F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and DietaryE · patternCorrected Oct 1, 2025
  2. F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryE · patternCorrected Oct 1, 2025
  3. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Oct 1, 2025
  4. F554Allow residents to self-administer drugs if determined clinically appropriate.Resident RightsD · isolatedCorrected Oct 1, 2025
  5. F732Post nurse staffing information every day.Nursing and Physician ServicesC · widespreadCorrected Oct 1, 2025
  6. F759Ensure medication error rates are not 5 percent or greater.Pharmacy ServiceE · patternCorrected Oct 1, 2025
  7. F761Ensure 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 ServiceD · isolatedCorrected Oct 1, 2025
Sep 12, 20243 citationsCycle 2worst E · no actual harm
  1. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareE · patternCorrected Sep 19, 2024
  2. F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy ServiceD · isolatedCorrected Sep 19, 2024
  3. F761Ensure 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 ServiceE · patternCorrected Sep 19, 2024
Jul 31, 20243 citationsCycle 2worst K · immediate jeopardy$94,175, payment denial
  1. F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationJ · isolatedCorrected Sep 12, 2024
  2. F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and ExploitationK · patternCorrected Sep 12, 2024
  3. Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and CareJ · isolatedCorrected Sep 19, 2024
May 31, 20242 citationsCycle 2worst E · no actual harm
  1. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareE · patternCorrected Jun 21, 2024
  2. F880Provide and implement an infection prevention and control program.Infection ControlD · isolatedCorrected Jun 5, 2024
Apr 24, 20242 citationsCycle 2worst E · no actual harm$9,718
  1. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationE · patternCorrected May 31, 2024
  2. F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Quality of Life and CareE · patternCorrected May 31, 2024
Dec 15, 20232 citationsCycle 3worst G · actual harm$24,317
  1. F745Provide medically-related social services to help each resident achieve the highest possible quality of life.Quality of Life and CareG · isolatedCorrected Jan 11, 2024
  2. F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and CareG · isolatedCorrected Jan 11, 2024
May 18, 20235 citationsCycle 3worst E · no actual harm
  1. 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 RightsE · patternCorrected Jun 5, 2023
  2. F637Assess the resident when there is a significant change in conditionResident Assessment and Care PlanningD · isolatedCorrected May 26, 2023
  3. F641Ensure each resident receives an accurate assessment.Resident Assessment and Care PlanningB · patternCorrected May 19, 2023
  4. F657Develop 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 PlanningD · isolatedCorrected May 31, 2023
  5. F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.AdministrationD · isolatedCorrected May 23, 2023

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combined3.61hrsAbove 55% of peers−0.17 vs NC avg
  • Registered nursesRN hours only0.26hrsAbove only 4% of peers−0.33 vs NC avg
  • Licensed practical nursesLPN hours1.08hrs
  • Nurse aidesCNA hours2.27hrs
  • Weekend nursingAll staff on Saturdays and Sundays3.31hrs
  • North Carolina average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is better64%Above only 18% of peersNC avg 50%
  • RN turnoverRegistered nurses only77%Not ranked by CMS
  • Administrators who leftIn the past year0Stable leadership
  • Occupancy115 certified beds · ~108 residents a day94%Above 85% of peersNC avg 83%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $128,210In fines
  • 3Fines
  • 1Payment denial
  • $45,050NC avg in fines
Above only 12% of peersFewer fines than 12% of rated homes in North Carolina

Actions on record

  1. Jul 31, 2024Civil money penalty$94,175
  2. Jul 31, 2024Denial of payment for new admissionsfrom Aug 24, 2024
  3. Apr 24, 2024Civil money penalty$9,718
  4. Dec 15, 2023Civil money penalty$24,317

Ownership

As filed with CMS

Structure

Ownership type
For profit - Corporation
Chain
Liberty Senior Living34 facilities in the chain2.6★ chain average
Certification
Medicare and Medicaid
Location type
Rural
Ownership change
None in the last 12 months

People and entities on file

Direct owners (5%+)
  • Liberty Long Term Care LLC
Indirect owners (5%+)
  • John a McNeill Jr 2012 Irrv Tr
  • Liberty Commons of Robeson County, LLC
  • Liberty Real Properties II LLC
  • Liberty Real Properties Vii LLC
  • Ronald B and Cynthia J McNeill 2013 Irrv Tr
  • Ronald McNeill
Limited Partnership Interest
  • John McNeill
Operational or managerial control
  • Ashley Kling
Corporate directors
  • Joeseph V Calcutt
  • Jeffrey Wilson

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed February 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 345054 · 1150 Pine Run Drive, Lumberton, NC, 28358.
  • Percentiles compare this facility with every rated nursing home in North Carolina and Robeson County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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