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Deficiency Records for Louisburg Healthcare and Rehabilitation Center
View the most recent health deficiencies and inspection results for Louisburg Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Louisburg Healthcare and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-26 | 2025-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-26 | 2025-12-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-26 | 2025-12-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-26 | 2025-12-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-26 | 2025-12-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-08-26 | 2025-12-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-26 | 2025-12-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-26 | 2025-12-18 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2025-08-26 | 2025-09-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-26 | 2025-09-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-26 | 2025-09-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-08-26 | 2025-09-22 | N |
| Post nurse staffing information every day. | Health | 2025-08-26 | 2025-09-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-26 | 2025-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-26 | 2025-09-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-08-26 | 2025-09-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-30 | 2023-11-30 | N |
| 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. | Health | 2023-10-30 | 2023-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-30 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-30 | 2023-11-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-30 | 2023-11-10 | N |
| 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. | Health | 2023-10-30 | 2023-11-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-30 | 2023-11-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-30 | 2023-11-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-30 | 2023-11-08 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-10-30 | 2023-11-08 | N |
| 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. | Health | 2023-07-11 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-11 | 2023-08-18 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-11 | 2023-08-18 | Y |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-01-05 | 2022-03-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-05 | 2022-03-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-05 | 2022-03-11 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-05 | 2022-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-01-05 | 2022-03-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-01-05 | 2022-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-05 | 2022-02-10 | N |
| 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. | Health | 2022-01-05 | 2022-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-05 | 2022-01-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-01-05 | 2022-01-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-05 | 2022-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-05 | 2022-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-05 | 2022-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-05 | 2022-01-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-05 | 2022-01-30 | N |