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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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-06 | 2025-04-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2025-03-06 | 2025-04-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-03-06 | 2025-04-15 | N |
| Provide appropriate foot care. | Health | 2025-03-06 | 2025-03-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-06 | 2025-03-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-06 | 2025-03-27 | N |
| 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. | Health | 2025-03-06 | 2025-03-27 | N |
| 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. | Health | 2025-03-06 | 2025-03-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-03-06 | 2025-03-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-03-06 | 2025-03-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-28 | 2024-09-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-28 | 2024-09-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-10 | 2024-08-28 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2024-03-06 | 2024-06-04 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-03-06 | 2024-06-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-06 | 2024-06-04 | 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 | 2024-03-06 | 2024-06-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-06 | 2024-04-11 | 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 | 2024-03-06 | 2024-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-06 | 2024-04-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-06 | 2024-04-11 | 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 | 2024-03-06 | 2024-04-11 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-03-06 | 2024-03-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-06 | 2024-03-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-06 | 2024-03-23 | 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 | 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 |
| 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 |
| 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 |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-14 | 2023-02-25 | 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 | 2022-12-14 | 2023-02-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-14 | 2023-02-25 | N |
| 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 |