Deficiency Records for Louisburg Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Louisburg Healthcare and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-05 | 2023-10-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-10-28 | Y |
| 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. | Health | 2023-10-05 | 2023-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-10-05 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-11 | 2023-02-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-01-11 | 2023-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-23 | 2022-12-31 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-14 | 2022-12-16 | N |
| Post nurse staffing information every day. | Health | 2022-12-14 | 2022-12-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-14 | 2022-12-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-10-25 | 2022-12-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-03 | 2022-02-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-03 | 2022-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-02-18 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-03 | 2022-02-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-03 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-28 | 2021-10-14 | N |
| 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. | Health | 2021-07-28 | 2021-10-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-28 | 2021-08-13 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-07-28 | 2021-08-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-03 | 2019-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-03 | 2019-09-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-03 | 2019-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-23 | 2019-06-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-23 | 2019-06-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-23 | 2019-06-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-23 | 2019-06-12 | N |
