01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-07 | 4 | 2024-07-18 | 3 |
| Cycle 2 | 2024-07-18 | 7 | 2023-03-09 | 2 |
| Cycle 3 | 2023-03-09 | 3 | 2021-07-01 | 0 |
CMS CCN 3452022026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Capital Nursing And Rehabilitation Center
3000 Holston Lane · Raleigh, NC 27610 · Wake County
Certified beds125CMS provider file
Recent citation rows19current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
19 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-07 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2025-08-312025-08-07 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-08-312025-08-07 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-08-312025-08-07 · HEALTHF0842Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: No revisit needed · 2025-08-312025-06-25 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2025-05-26 · complaint2024-09-16 · HEALTHF0584Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has plan of correction · 2024-10-24 · complaint2024-07-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-09-162024-07-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-07-18 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-07-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-07-18 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-09-16 · complaint2024-07-18 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-07-18 · FIREK0781Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2024-09-292024-07-18 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-09-292023-03-09 · HEALTHF0623Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has plan of correction · 2023-03-252023-03-09 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2023-03-182023-03-09 · HEALTHF0867Severity B · pattern; potential for minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has plan of correction · 2023-03-252023-03-09 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-05-192023-03-09 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-05-1903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LIBERTY COMMONS NURSING AND REHABILITATION CENTER OF WAKE COUNTY, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2005
- MCNEILL, JOHNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2005
- MCNEILL, RONALDIndividual · 5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED · since 10/01/2005
- JOHN A MCNEILL JR 2012 IRRV TROrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/29/2025
- LIBERTY HEALTHCARE GROUP LLCOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/29/2025
- MCNEILL, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2005
- MCNEILL, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2024
- MCNEILL, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/15/2005
- MILLER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2024
- WILSON, JEFFREYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/18/2011
- CALCUTT, JOSEPHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/29/2025
- LIBERTY HEALTHCARE MANAGEMENT INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/29/2025
- AYERS, TRACYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- MOORE, AMANDAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2025
- WILSON, JEFFREYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 11/04/2025
- MCNEILL, ROBERTIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 04/29/2025
- OLIVER, ANNAIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 04/29/2025
- PURVIS, JENNYIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 04/29/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.40per resident day
RN hours0.38per resident day
Weekend nurse hours3.05per resident day
Staff turnover36.5%CMS reported field
06 / LOCAL RECORDS
Open the Raleigh ledger →Other published facilities nearby
Bloomsbury At Hayes Barton Place31 beds · CMS overall —/50 citation rowsHillcrest Raleigh At Crabtree Valley134 beds · CMS overall 4/521 citation rowsLitchford Falls Health And Rehabilitation Center90 beds · CMS overall 2/547 citation rowsPerry Creek Health And Rehabilitation Center132 beds · CMS overall 1/5107 citation rowsPruitthealth-Raleigh150 beds · CMS overall 3/547 citation rowsRaleigh Rehabilitation Center157 beds · CMS overall 3/534 citation rowsRex Rehab & Nursing Care Center120 beds · CMS overall 5/513 citation rowsSunnybrook Rehabilitation Center95 beds · CMS overall 1/543 citation rows