Liberty Health Care Center

1206 N Travis St · Liberty, TX · 77575 · 9363367247

118 certified beds Government - Hospital district Chain: Health Services Management

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $222,130 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$222,130 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

77% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 0
Staffing 20% 46
Federal penalties 15% 40
Trend 10% 86
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.423.48 min · 4.1 strong
RN hours / resident-day0.260.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year77%median 45%
Fines (3-yr window)2 · $222,130

Inspection citations (20 in the current record)

  • Immediate jeopardy · J March 19, 2026 · found via complaint

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

    Past Non-Compliance · Quality of Life and Care

  • Immediate jeopardy · J March 19, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Potential for harm · D February 11, 2026 · found via complaint

    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.

    Corrected February 13, 2026 · Pharmacy Service

  • Potential for harm · E November 24, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 20, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 20, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 22, 2025 · Quality of Life and Care

  • Potential for harm · E July 17, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected August 1, 2025 · Pharmacy Service

  • Immediate jeopardy · J May 9, 2025 · found via complaint

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

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J May 9, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 16, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J May 9, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D May 9, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 25, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 25, 2024

    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.

    Corrected July 19, 2024 · Quality of Life and Care

  • Potential for harm · E June 25, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 19, 2024 · Pharmacy Service

  • Potential for harm · E June 25, 2024

    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.

    Corrected July 19, 2024 · Pharmacy Service

  • Potential for harm · D July 13, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 19, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D April 19, 2023

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected May 5, 2023 · Quality of Life and Care

  • Potential for harm · D April 19, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 5, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
March 19, 2026Fine$24,845
May 9, 2025Fine$197,285

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675540 · certified since November 27, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.