Facility profile · CCN 345358
Louisburg Healthcare & Rehabilitation Center
26 federal citations on record , including 2 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $153,104.
Record summary
Federal record · Q1 202626
Total citations
23
Last 3 years
2
Actual harm+
5
Federal penalties
$153,104
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
26 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Mar 6, 2025 | F687 | Provide appropriate foot care. | D | Complaint |
| Mar 6, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Mar 6, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Mar 6, 2025 | F727 | 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. | D | Standard |
| Mar 6, 2025 | F585 | 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. | B | Standard |
| Mar 6, 2025 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Mar 6, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Aug 28, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Complaint |
| Aug 28, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Jul 10, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | K | Complaint |
| Mar 6, 2024 | F761 | 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. | D | Complaint |
| Mar 6, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 6, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Mar 6, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Mar 6, 2024 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Mar 6, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Mar 6, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 6, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Oct 5, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 5, 2023 | F761 | 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. | D | Complaint |
| Oct 5, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Oct 5, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | Complaint |
| Sep 1, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Dec 14, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Dec 14, 2022 | F732 | Post nurse staffing information every day. | C | Standard |
| Dec 14, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 3 civil money penalties totaling $153,104 and 2 payment-denial actions spanning 72 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 10, 2024 | Fine | $133,854 | — |
| Jul 10, 2024 | Payment Denial | — | Aug 8, 2024 · 40 days |
| Sep 1, 2023 | Fine | $3,981 | — |
| Sep 1, 2023 | Fine | $15,269 | — |
| Sep 1, 2023 | Payment Denial | — | Sep 26, 2023 · 32 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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