Bermuda Commons Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 56 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (9 vs median 4.0)
Bottom 25% in NC · Critically understaffed (RN) · Worst in LIBERTY SENIOR LIVING chain · $28,043 in fines
What this means for your family
Bermuda Commons has a strong reputation for rehabilitation therapy, which may make it suitable for short-term recovery. However, the recurring reports of slow response times to call bells and inconsistent hygiene standards are serious concerns. We strongly recommend that you visit unannounced and specifically observe how staff respond to residents' needs during non-peak hours.
Google Reviews
Google Reviews
56 reviews on Google“Bermuda Commons Nursing and Rehabilitation Center receives highly polarized feedback, with many families praising the rehabilitation therapy team and administrative support, while others report severe neglect and poor communication. While some residents and families describe a caring, attentive environment, a significant number of reviewers cite issues with basic hygiene, slow response times to call bells, and inadequate assistance with meals. Families considering this facility should be aware of the stark contrast between positive rehab experiences and reports of substandard long-term care.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation and therapy team
- Helpful and communicative administrative staff
- Compassionate end-of-life/hospice care
- Clean and well-maintained facility (noted by some)
Concerns
- Slow or non-existent response to call bells (mentioned by 4 reviewers)
- Poor food quality, cold meals, and lack of assistance with eating (mentioned by 6 reviewers)
- Inadequate hygiene and cleanliness (urine-stained clothes, dirty rooms) (mentioned by 4 reviewers)
- Rude or dismissive staff behavior (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 58 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that your administrative team is very active in responding to feedback online; how do you use that family input to make changes to the daily resident experience?
- 2Could you walk me through your current process for responding to call bells and how you ensure residents receive timely assistance when they need it?
- 3I understand that nutrition is a vital part of health; what steps are you taking to improve the quality, temperature, and dining assistance provided during meal times?
- 4Given the recent focus on facility maintenance, what is your daily routine for ensuring rooms and personal clothing remain consistently clean and hygienic?
- 5How does your nursing team coordinate with the rehabilitation staff to ensure that residents are receiving consistent, compassionate care throughout the entire day?
- 6What protocols are in place to ensure that staff interactions with residents remain patient and supportive, especially during busy shifts?
Personalized based on this facility's data
Key Review Excerpts
“The nurses, CNAs, Physical Therapists, Occupational Therapists, and Speech Therapist gave mom extraordinary care. We spent so much time with her and saw the love and care they provided.”
“They drop her food off and don’t help her cut her food into small pieces and help her eat, so someone from the family has to try to come by for meals to help her.”
“Nasty rooms, floors covered in trash and dirt, clothes left covered in urine... Staff on their cell phones, instead of helping the residents.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents who got a urinary tract infection
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed reports leading to six complaint-triggered deficiencies, including recurring accident hazard problems and medication management issues. The facility shows persistent problems across safety, building maintenance, medication management, and resident rights that span multiple surveys from 2022 to 2025. While most deficiencies have correction plans, the pattern of ongoing safety and care concerns warrants careful consideration during visits.
Mar 6, 2025Routine20
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Jan 11, 2024Complaint5
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jan 11, 2024Routine17
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Sep 14, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 5, 2022Routine7
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Federal Penalties
Fine
Jan 11, 2024
$13,348
Fine
Sep 14, 2023
$14,695
Ownership & Operations
Who Operates This Facility
Bermuda Commons Nursing and Rehabilitation Center
for profit
Chain Affiliation
Liberty Senior Living
37 facilities nationwide
Chain avg rating: 2.6/5 · Rank 28 of 35 (Worst)
Ownership & Management
Owners
Mcneill, John
Owner
Mcneill, Ronald
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
56 reviews from families & visitors
Official Website
Visit libertyhealthcareandrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Mallard Ridge Assisted Living
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Cadence at Clemmons
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Clemmons Village I
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