Show Inspection Reports
Total health inspections
4
Kentucky average 2.9
Last Health inspection on Aug 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
West Liberty Nursing and Rehabilitation
Nursing Home · Kentucky, KY
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
West Liberty Nursing and Rehabilitation
Nursing Home in Kentucky
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
West Liberty Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.
West Liberty Nursing and Rehabilitation provides compassionate skilled nursing care. It offers a range of services including short-term rehabilitation, occupational therapy, speech therapy, outpatient therapy, memory care, long-term care, hospice care, and respite care. The facility is located in West Liberty, Kentucky.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 147th out of 170 homes in Kentucky.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 147th out of 170 homes in Kentucky.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 47m per day
Rank #147 / 170Nurse hours — state benchmarkedThis home is ranked 147th out of 170 homes in Kentucky.Shows adjusted nurse hours per resident per day benchmarked to the Kentucky average, with a ranking across 170 Kentucky SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Kentucky avg
-20%
Standout metric
RN (Weekend) is +10% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 48m per day | ▲ 4% State avg: 46m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 23m per day | ▼ 53% State avg: 49m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 22m per day | ▼ 3% State avg: 2h 26m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 44m per day | ▼ 22% State avg: 3h 30m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ▲ 10% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88%
Rank #75 / 175Occupancy rate — state benchmarkedThis home is ranked 75th out of 175 homes in Kentucky.Shows this facility's occupancy rate versus the Kentucky average, with its statewide rank out of 175. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
126 days
Occupancy rate
88%
Rank #75 / 175Occupancy rate — state benchmarkedThis home is ranked 75th out of 175 homes in Kentucky.Shows this facility's occupancy rate versus the Kentucky average, with its statewide rank out of 175. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
126 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
37% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
39% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4.8M
Operating loss
-$25.7K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$4.8M Rank #163 / 173Revenue — state benchmarkedThis home is ranked 163rd out of 173 homes in Kentucky.Shows this facility's annual revenue compared to the Kentucky SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Operating loss
-$25.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #173 / 173Payroll — state benchmarkedThis home is ranked 173rd out of 173 homes in Kentucky.Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #173 / 173Payroll — state benchmarkedThis home is ranked 173rd out of 173 homes in Kentucky.Shows total annual staff payroll benchmarked to the Kentucky average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
50-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 45 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeLong Term Care (nursing Facility, Personal Care)
StatusActive
IssuanceJune 1, 2025
CountyMorgan
License Number100340
CMS Certification Number185274
West Liberty Nursing and Rehabilitation is administrated by Angelena Ratliff.
Owner NameWEST LIBERTY NURSING AND REHABILITATION, LLC
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Specific ProgramsShort-Term Rehabilitation, Occupational Therapy, Speech Therapy, Outpatient Therapy
Inspection History
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
The data displayed corresponds to the last 7 years.
Health Inspection History
Inspections
Total health citations
17
Rank #124 / 172Health citations — state benchmarkedThis home is ranked 124th out of 172 homes in Kentucky.Shows this facility's total health deficiency citations benchmarked to the Kentucky state average, with a ranking across all 172 KY SNFs. Lower citation counts earn a better rank.
Kentucky average 13.5
Citations per inspection
4.25
Rank #93 / 172Citations per inspection — state benchmarkedThis home is ranked 93rd out of 172 homes in Kentucky.Shows average deficiency citations per CMS inspection for this facility versus the Kentucky mean across 172 SNFs with citation data. Lower is better.
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 17 citations resulted from standard inspections; 1 of 17 resulted from complaint investigations; and 2 of 17 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 7 years)
Critical Health citations
2
82% worse than Kentucky averageKentucky average: 1.1
Serious Health citations
2
2
233% worse than Kentucky averageKentucky average: 0.6
2 critical citations
2 serious citations
13 moderate citations
0 minor citations
Citations history (last 7 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 26, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 26, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 25, 2023
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 25, 2023
Corrected
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 25, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 25, 2023
Corrected
Care Planning critical citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 25, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 25, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Nursing Home in Kentucky
West Liberty Nursing and Rehabilitation is located in WEST LIBERTY, Kentucky.
Here are the financial assistance programs available to residents in Kentucky.
Places of interest near West Liberty Nursing and Rehabilitation
100.9 miles from city center
Estimated distance in miles from WEST LIBERTY's city center to West Liberty Nursing and Rehabilitation's address, calculated via Google Maps.
Calculate Travel Distance to West Liberty Nursing and Rehabilitation
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
64
Employees
51
Contractors
13
Staff to resident ratio
1.52:1
13% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
20
Average shift
8.6 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
15,688
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
8.7%
1,369 contractor hours this quarter
Feeding Assistant: 3
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Medical Director: 2
Qualified Social Worker: 1
Physical Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 23 | 0 | 23 | 7,103 | 91 | 100% | 9.7 |
| Registered Nurse | 7 | 0 | 7 | 1,837 | 90 | 99% | 10.7 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,521 | 69 | 76% | 9.2 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,017 | 86 | 95% | 9.4 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 752 | 63 | 69% | 7.8 |
| Mental Health Service Worker | 3 | 0 | 3 | 615 | 64 | 70% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 565 | 59 | 65% | 6.7 |
| Dietitian | 1 | 0 | 1 | 505 | 63 | 69% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 64 | 70% | 7.9 |
| Administrator | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 404 | 63 | 69% | 6.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 107 | 23 | 25% | 4.7 |
| Qualified Social Worker | 0 | 1 | 1 | 97 | 44 | 48% | 2.2 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 97 | 44 | 48% | 2.2 |
| Feeding Assistant | 0 | 3 | 3 | 56 | 13 | 14% | 4 |
| Medical Director | 0 | 2 | 2 | 43 | 11 | 12% | 3.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 43 | 12 | 13% | 3.6 |
| RN Director of Nursing | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
| Other Physician | 1 | 0 | 1 | 0 | 1 | 1% | 0 |
23 Certified Nursing Assistant
% of Days
100%
7 Registered Nurse
% of Days
99%
3 Licensed Practical Nurse
% of Days
76%
3 Medication Aide/Technician
% of Days
95%
6 Clinical Nurse Specialist
% of Days
69%
3 Mental Health Service Worker
% of Days
70%
2 Speech Language Pathologist
% of Days
65%
1 Dietitian
% of Days
69%
1 Nurse Practitioner
% of Days
70%
1 Administrator
% of Days
57%
2 Physical Therapy Assistant
% of Days
69%
1 Physical Therapy Aide
% of Days
25%
1 Qualified Social Worker
% of Days
48%
2 Respiratory Therapy Technician
% of Days
48%
3 Feeding Assistant
% of Days
14%
2 Medical Director
% of Days
12%
1 Occupational Therapy Aide
% of Days
13%
1 RN Director of Nursing
% of Days
1%
1 Other Physician
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
42
Medicare
2
4.8% of residents
Medicaid
38
90.5% of residents
Private pay or other
2
4.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.0
43% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.7
22% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
Percent of long-stay residents whose need for help with daily activities has increased
8.6%
49% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
11.8%
Percent of long-stay residents whose ability to move independently worsened
11.8%
40% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.8%
16% worse than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.0%
Percent of long-stay high risk residents with pressure ulcers
3.0%
48% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.0%
Percent of long-stay residents with a urinary tract infection
3.0%
62% worse than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.5%
Percent of long-stay residents who lose too much weight
6.5%
5% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
31.8%
Percent of long-stay residents who have depressive symptoms
31.8%
123% worse than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
1.4%
Percent of long-stay residents who received an antipsychotic medication
1.4%
91% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Kentucky averageKentucky average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.97
Number of hospitalizations per 1,000 long-stay resident days.
1.97
5% worse than Kentucky averageKentucky average: 1.87
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.02
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.02
38% worse than Kentucky averageKentucky average: 2.19
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
In line with Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
81.6%
In line with Kentucky averageKentucky average: 83.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$9K
85% lower than Kentucky averageKentucky average: $63K
Number of fines
1
57% fewer fines than Kentucky averageKentucky average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Kentucky averageKentucky average: 0.3
Fines amount comparison
Fines amount comparison
This facility
$9K
Kentucky average
$63K
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Home around Kentucky The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
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| West Liberty Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | West Liberty | 50 | 88.0% | +8% | 2.78 | +5% | -26% | 1 | 17 | 4.3 | 4 | 46 | 45 | West Liberty Nursing And Rehabilitation Holdings Llc | $4.8M | $1.3M | 26.6% | 185274 | ||||
| Bardstown Heatlh & Rehabilitation | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
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Financial Trends
Historical financial and operational data for West Liberty Nursing and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
88.0%
↓ 2.7pp vs 2022
Net Income
-$25.7K
↓ ~$692.9K vs 2022
Total Payroll
$2.1M
↑ ~$27.5K vs 2022
Profit Margin
-0.5%
↓ 13.0pp vs 2022
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Frequently Asked Questions about West Liberty Nursing and Rehabilitation
Is West Liberty Nursing and Rehabilitation in a walkable area?
West Liberty Nursing and Rehabilitation has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of West Liberty Nursing and Rehabilitation?
According to KY state health department records, West Liberty Nursing and Rehabilitation's license number is 100340.
Who is the administrator of West Liberty Nursing and Rehabilitation?
Angelena Ratliff is the administrator of West Liberty Nursing and Rehabilitation.
How many beds does West Liberty Nursing and Rehabilitation have?
West Liberty Nursing and Rehabilitation has 50 beds.
Are there photos of West Liberty Nursing and Rehabilitation?
Yes — there are 4 photos of West Liberty Nursing and Rehabilitation in the photo gallery on this page.
What is the address of West Liberty Nursing and Rehabilitation?
West Liberty Nursing and Rehabilitation is located at 774 LIBERTY ROAD.
What is the phone number of West Liberty Nursing and Rehabilitation?
(606) 743-3846 will put you in contact with the team at West Liberty Nursing and Rehabilitation.
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