Public Record
Louisburg Healthcare & Rehabilitation Center
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 92
- Avg. residents per day
- 87.9
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 36
- Inspections on file
- 10
- Last inspection
- 2025-03-06
*CMS
*CMS
*CMS
Citations
36 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0916Generalpotential for harm
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0352Generalpotential for harm
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0727Generalpotential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- 0554Generalpotential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
- 0687Generalpotential for harm
Provide appropriate foot care.
- 0565Generalpotential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 0585Generalno actual harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0925Seriousimmediate jeopardy
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0324Generalpotential for harm
Provide properly protected cooking facilities.
- 0644Generalpotential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0756Generalpotential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0883Generalpotential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- 0761Generalpotential for harm
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.
- 0915Generalpotential for harm
Have proper power supply for life support equipment.
- 0500Generalpotential for harm
Meet other general requirements that are deficient.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0636Generalno actual harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0684Seriousimmediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0341Generalpotential for harm
Install a fire alarm system that can be heard throughout the facility.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
FAQ
Questions and answers
- What is Louisburg Healthcare & Rehabilitation Center?
- Louisburg Healthcare & Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Louisburg, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345358.
- What is the CMS rating for Louisburg Healthcare & Rehabilitation Center?
- Louisburg Healthcare & Rehabilitation Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Louisburg Healthcare & Rehabilitation Center have?
- Louisburg Healthcare & Rehabilitation Center is certified for 92 beds. It serves an average of 87.9 residents per day.
- How many citations does Louisburg Healthcare & Rehabilitation Center have?
- Louisburg Healthcare & Rehabilitation Center has 36 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Louisburg Healthcare & Rehabilitation Center last inspected?
- Louisburg Healthcare & Rehabilitation Center was last inspected on March 6, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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