Louisburg Healthcare & Rehabilitation Center

202 Smoketree Way · Louisburg, NC · 27549 · 9194962188

92 certified beds For profit - Limited Liability company Chain: Liberty Senior Living

Why this verdict

  • Federal penalties on record: $133,854 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$133,854 in federal fines in the last 24 months

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

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 88
Staffing 20% 49
Federal penalties 15% 0
Trend 10% 91
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: 3 of 5

Total nurse hours / resident-day3.073.48 min · 4.1 strong
RN hours / resident-day0.330.55–0.75
Weekend hours / resident-day2.76≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)3 · $153,104

Inspection citations (26 in the current record)

  • Potential for harm · D March 6, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 27, 2025 · Resident Rights

  • Potential for harm · E March 6, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 27, 2025 · Resident Rights

  • Potential for harm · D March 6, 2025

    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.

    Corrected March 27, 2025 · Nursing and Physician Services

  • Potential for harm · D March 6, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 27, 2025 · Nutrition and Dietary

  • Potential for harm · D March 6, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 27, 2025 · Resident Rights

  • Potential for harm · D March 6, 2025 · found via complaint

    Provide appropriate foot care.

    Corrected March 27, 2025 · Quality of Life and Care

  • No harm found · B March 6, 2025

    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.

    Corrected March 27, 2025 · Resident Rights

  • Potential for harm · D August 28, 2024 · found via complaint

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

    Corrected September 17, 2024 · Pharmacy Service

  • Potential for harm · D August 28, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected September 17, 2024 · Pharmacy Service

  • Immediate jeopardy · K July 10, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 28, 2024 · Environmental

  • Potential for harm · D March 6, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 11, 2024 · Quality of Life and Care

  • Potential for harm · E March 6, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 11, 2024 · Pharmacy Service

  • Potential for harm · D March 6, 2024

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

    Corrected April 11, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2024

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected March 23, 2024 · Administration

  • Potential for harm · D March 6, 2024

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected April 11, 2024 · Infection Control

  • Potential for harm · D March 6, 2024 · 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 April 11, 2024 · Pharmacy Service

  • Potential for harm · D October 5, 2023 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 28, 2023 · Pharmacy Service

  • Potential for harm · D October 5, 2023 · 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 October 28, 2023 · Pharmacy Service

  • Potential for harm · D October 5, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 28, 2023 · Infection Control

  • No harm found · B October 5, 2023 · found via complaint

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected October 28, 2023 · Resident Assessment and Care Planning

  • Immediate jeopardy · J September 1, 2023 · found via complaint

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

    Corrected October 5, 2023 · Quality of Life and Care

  • Potential for harm · D December 14, 2022

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

    Corrected December 16, 2022 · Quality of Life and Care

  • Potential for harm · D December 14, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 16, 2022 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
July 10, 2024Fine$133,854
July 10, 2024Payment Denial40 days
September 1, 2023Fine$3,981
September 1, 2023Fine$15,269
September 1, 2023Payment Denial32 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345358 · certified since March 22, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.