Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Louisburg Healthcare & Rehabilitation Center during CMS and state inspections, most recent first.
The facility did not resolve grievances from Resident Council Meetings over four months, concerning limited beverage options and missing laundry items. Despite documentation of these issues, no follow-up actions were taken, as confirmed by resident interviews and staff acknowledgments.
The facility failed to provide RN coverage for 8 consecutive hours on two days, as required. A review of staffing data indicated low weekend staffing, and examination of staff postings and schedules revealed no RN on duty on these days, despite a census of 69 and 82. Interviews confirmed the absence of documentation for RN coverage, although the DON stated that the MDS nurse would fill open positions if needed.
The facility failed to maintain cleanliness of the convection oven, with significant grease buildup observed during two inspections. The oven was cleaned only once a month, with the last cleaning over a month prior, and charred food from a spill two weeks earlier remained unaddressed. This lack of regular cleaning could potentially affect food quality.
The facility failed to maintain the dignity of two residents during meals. A resident with severe cognitive impairment was observed with a urinal on the overbed table while eating, contrary to his preference. Another resident, who required limited assistance, was fed by staff standing over him instead of sitting at eye level, despite the availability of a chair. These practices violated the residents' rights to dignity and respect.
A facility failed to assess a resident for self-administration of medication, leading to a deficiency. The resident, who was cognitively intact, was found with medications left at her bedside, which she usually took herself. The Medication Aide forgot to return to ensure the medication was taken, and the DON confirmed no assessment was conducted for self-administration. The Administrator expected staff to ensure medications were taken before leaving the room.
A resident with Alzheimer's and dementia did not receive ordered foot care, as lotion was not applied to her feet despite a physician's order. The resident's care plan noted refusal of care, but there was no documentation of refusals related to foot care. A podiatry visit revealed severe dry skin, and staff interviews indicated a lack of awareness of the lotion application order. The DON and Administrator acknowledged the oversight in care and communication.
The facility failed to provide written grievance summaries for grievances filed by the Resident Council and a resident. Despite the facility's policy requiring a written response within 14 days, grievances concerning housekeeping, missing items, and staff conduct were not followed up with written summaries. The DON admitted to not being aware of the policy requirements until a mock survey, and the Administrator confirmed the need for timely written responses.
A resident with schizophrenia and breast cancer did not receive prescribed medications, Aripiprazole and Letrozole, on multiple occasions due to the facility's failure to ensure medication availability. Nurses did not notify the charge nurse or DON about the missing medications, nor did they follow up with the pharmacy or use a backup pharmacy. The pharmacist confirmed medication requests were made, but no follow-up calls were documented.
A resident with schizophrenia and breast cancer did not receive prescribed medications, Aripiprazole and Letrozole, on multiple occasions due to them being on order. Nursing staff lacked education on handling missing medications and did not follow up with the pharmacy or notify the charge nurse and DON. The Medical Director noted no side effects from missed doses.
Two residents in a facility were affected by an ant infestation due to ineffective pest control measures. One resident, with moderate cognitive impairment, was found with ants covering her bed and body, leading to itching and red marks. Another resident, requiring extensive assistance, was also found with ants in her room, necessitating a room change. Staff had previously observed ants, but the infestation's severity was unprecedented. The facility's pest control logs showed no prior ant activity, and the pest control company was called only after the incidents.
The facility failed to attempt a gradual dose reduction (GDR) of psychotropic medications for a resident, despite repeated recommendations from the Consultant Pharmacist. The resident was followed by an outpatient psychiatrist, but the facility did not obtain the necessary documentation to support this or to show that a GDR was clinically contraindicated. Interviews with staff revealed multiple attempts to secure the required records without success, leading to a deficiency in the care provided.
A resident with a diagnosis of schizophrenia was not referred for a PASRR level II screening due to a lack of notification to the responsible Social Worker. The resident's schizophrenia diagnosis was noted in the MDS annual assessment, but the Social Worker was unaware and did not submit the necessary review.
The facility failed to complete a baseline care plan within 48 hours for a resident with cancer, dialysis, and diabetes. Only the medication regimen section was completed on time, while other critical sections were delayed. Interviews revealed that the Social Worker was responsible for care plans, but the MDS Nurse only worked part-time, leading to the incomplete care plan for the severely cognitively impaired resident.
The facility failed to obtain and implement physician orders for a resident on hemodialysis, resulting in a lack of monitoring and necessary restrictions for the resident's AV fistula site. Nursing staff and administration were unaware of the missing orders, leading to inadequate care.
The facility failed to obtain outpatient psychiatrist visit notes for a resident prescribed psychotropic medication. Despite repeated requests from the Consultant Pharmacist and Nurse Practitioner, the facility did not have any documentation of the resident's outpatient psychiatric appointments, and attempts to contact the provider were unsuccessful.
The facility's QAA Committee failed to maintain procedures and monitor interventions, leading to deficiencies in labeling and storing drugs and administering vaccines. Issues included unlocked medication carts, expired medications, and failure to administer pneumococcal vaccines to eligible residents.
The facility failed to offer and administer the pneumococcal vaccine to two residents, despite having received consent from their responsible parties. One resident was admitted with intracranial injury, and another with encephalopathy. Both residents' immunization records indicated issues with vaccine administration and documentation.
Failure to Address Resident Council Grievances
Penalty
Summary
The facility failed to address and resolve grievances raised during Resident Council Meetings over a period of four months. Specifically, concerns about insufficient beverage options and clothes/items not being returned from the laundry were repeatedly noted in the meeting minutes for July, August, September, and October 2024. Despite these issues being documented, the follow-up/intervention sections of the meeting minutes were consistently left blank, indicating a lack of action taken to address the residents' concerns. Interviews with residents confirmed that these issues remained unresolved, as they continued to express dissatisfaction with the beverage options and the return of their laundry items. The Activities Director and Social Worker, who were responsible for facilitating the Resident Council Meetings, acknowledged that grievances were supposed to be communicated and addressed but could not explain why the issues were not resolved. The Administrator also confirmed that all complaints should have been followed by a grievance process, which was not adhered to in this case.
Failure to Provide RN Coverage for 8 Consecutive Hours
Penalty
Summary
The facility failed to provide Registered Nurse (RN) coverage for 8 consecutive hours on two specific days, 9/15/24 and 12/07/24, as required. A review of the Payroll Based Journal (PBJ) staffing data for the first quarter of 2024 indicated excessively low weekend staffing. Further examination of the facility's daily staff postings and staffing schedules from 9/01/24 through 2/28/25 revealed that on 9/15/24, with a daily census of 69, and on 12/07/24, with a daily census of 82, there was no RN working on any shift. Interviews with the Director of Nursing (DON) and the Administrator confirmed the absence of documentation for RN coverage on these days, despite the DON's assertion that the MDS nurse, an RN, would fill open positions if needed.
Convection Oven Cleaning Deficiency
Penalty
Summary
The facility failed to maintain cleanliness of food service equipment, specifically the convection oven, during two separate kitchen observations. On 03/03/25, a large volume of grease buildup was observed inside the oven, on the door, and on the seals. This condition persisted during a second observation on 03/06/25. The Certified Dietary Manager admitted that the oven was cleaned only once a month, with the last cleaning occurring on 02/06/25. Additionally, it was revealed that charred food, identified as apples, had spilled over two weeks prior and had not been cleaned. These observations and admissions indicate a lack of regular cleaning and maintenance of the convection oven, which could potentially affect the quality of food served to residents.
Failure to Maintain Resident Dignity During Meals
Penalty
Summary
The facility failed to maintain the dignity of Resident #14 by not removing a urinal from the overbed table while the resident was eating. Resident #14, who had severe cognitive impairment and required assistance for toilet use, was observed on two occasions with a urinal on the table during meals. Despite the resident's preference for the urinal to be within reach but not on the table with his meal, staff did not adhere to this preference, leading to a dignity violation. Additionally, the facility did not promote the independence and dignity of Resident #35, who was cognitively intact and required limited assistance for eating. Observations revealed that staff stood over the resident while assisting with meals, despite the availability of a chair and the expectation that staff should be seated at eye level. This practice was observed on multiple occasions, indicating a failure to respect the resident's dignity during meal assistance.
Failure to Assess Resident for Self-Administration of Medication
Penalty
Summary
The facility failed to assess a resident for self-administration of medication, which led to a deficiency in medication administration practices. Resident #57, who was cognitively intact according to the quarterly Minimum Data Set, was observed with two cups of medication at her bedside. The resident stated that she had requested the staff to leave the medications on the bedside table as she was eating when they were brought in. She also mentioned that the staff usually left her medications at the bedside, and she would take them herself. However, there was no assessment in the medical record to determine if it was safe for Resident #57 to self-administer medications, and her care plan did not include self-administration of medication. Medication Aide #1 admitted to leaving the medications on the bedside table and forgetting to return to ensure Resident #57 took them. The Director of Nursing confirmed that the resident had not been assessed for self-administration and stated that all treatments should be completed by nursing staff. The Administrator expected staff to ensure all medications were taken before leaving the resident's room. This lack of assessment and oversight in medication administration led to the deficiency identified by the surveyors.
Failure to Provide Ordered Foot Care for Resident
Penalty
Summary
The facility failed to provide foot care as ordered for a resident diagnosed with Alzheimer's disease and dementia. The resident was readmitted to the facility with a physician's order to apply lotion to both feet for 90 days due to dry skin. However, a review of the Medication Administration Records (MARs) and Treatment Administration Records (TARs) from August 2024 to March 2025 revealed no documentation of lotion application to the resident's feet. The resident's care plan, last revised in October 2024, noted episodes of refusal to see a podiatrist and included interventions for managing care refusals, but did not document any refusals related to foot care. During a podiatry visit on January 30, 2025, the resident was found to have severe dry, peeling, and flaky skin on both feet, with poor pedal hygiene and crusty skin between the toes. The podiatrist recommended applying over-the-counter lotion twice daily for 90 days. However, interviews with staff revealed a lack of awareness of this recommendation. Nurse #1 and the Nurse Practitioner both observed the resident's feet to be extremely dry with excessive skin shedding, but neither could confirm regular lotion application. Nurse Aide #1, who worked part-time, stated she applied lotion during bed baths, but the resident often refused care, including bathing. The Director of Nursing (DON) and the Administrator acknowledged that the resident's foot care needs were not adequately addressed. The DON noted that lotion application should be a routine task and included in the care plan and activities of daily living (ADL) for nurse aides. The Administrator emphasized that all outside consultation summaries should be reviewed by the nurse on duty, and any recommendations should be communicated and implemented. The failure to apply lotion as recommended by the podiatrist was not documented or communicated effectively, leading to the deficiency in care.
Failure to Provide Written Grievance Summaries
Penalty
Summary
The facility failed to provide a written grievance summary for two grievances filed on behalf of the Resident Council and one grievance filed by a resident. The facility's Grievance Policy and Procedure required a written response within 14 days of filing, but this was not adhered to. For the grievance dated 9/23/24, concerning housekeeping issues, there was no evidence of a written summary provided to the Resident Council. Similarly, grievances dated 1/29/25, regarding missing socks, broken sinks, and other issues, also lacked written summaries. Interviews with the Social Worker and Activity Director revealed that the grievances were not followed up with written responses, and the Director of Nursing admitted to not being aware of the grievance policy requirements until a mock survey in February 2025. Resident #57, who was cognitively intact, filed a grievance on 2/7/25 regarding a nurse aide's refusal to assist with changing a resident. The facility's response involved educating the nursing team, but no written summary was provided to the resident. The Director of Nursing acknowledged the oversight, attributing it to a lack of awareness of the grievance policy. The Assistant Director of Nursing, who handled the grievance, was unavailable for interview. The Administrator confirmed that grievances should have been addressed with written responses in a timely manner.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medication was available and administered as ordered for a resident diagnosed with malignant neoplasm of the left breast and bipolar schizoaffective disorder. The resident was prescribed Aripiprazole for schizophrenia and Letrozole for breast cancer. However, the resident did not receive Aripiprazole on multiple occasions in July and August 2024, as documented in the Medication Administration Record (MAR). The nurses involved did not notify the charge nurse or Director of Nursing (DON) about the missing medication, nor did they follow up with the pharmacy or utilize a backup pharmacy. Interviews with the nurses revealed a lack of education on the process for handling missing medications. Nurse #1 attempted to order the medication but did not inform the charge nurse or DON when it was unavailable. Nurse #3 reordered the medication but did not follow up with the pharmacy or report the issue to the charge nurse or DON. The pharmacist confirmed that the medication requests were entered into the system, but there was no documentation of any calls from the facility regarding the unavailability of the medication. The Medical Director stated that there were no side effects from the missed doses of Aripiprazole and Letrozole. The DON expected that missing medications would be reported to the charge nurse and DON, and that the pharmacy should be notified to obtain the medication from a backup pharmacy. Despite these expectations, the facility did not ensure that the resident received the prescribed medications in a timely manner.
Failure to Administer Prescribed Medications
Penalty
Summary
The facility failed to prevent a significant medication error for a resident diagnosed with malignant neoplasm of the left breast and bipolar schizoaffective disorder. The resident was prescribed Aripiprazole for schizophrenia and Letrozole for breast cancer, but did not receive these medications on multiple occasions due to them being on order. Specifically, Aripiprazole was not administered on two days in July and two days in August, while Letrozole was missed on one day in August. The resident expressed concern about missing these medications, emphasizing their importance for daily intake. Interviews with nursing staff revealed a lack of education and awareness regarding the process for handling missing medications and the use of a backup pharmacy. Nurse #1 and Nurse #3 acknowledged the failure to follow up with the pharmacy or notify the charge nurse and Director of Nursing about the missing medications. The Medical Director confirmed that there were no side effects from missing doses of Aripiprazole and Letrozole. The Director of Nursing stated that the expectation was for nurses to notify the charge nurse and DON about missing medications and to utilize a backup pharmacy if necessary.
Ant Infestation in Resident Rooms Due to Ineffective Pest Control
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in an ant infestation affecting vulnerable residents. On June 23, 2024, a resident was found in bed with small black ants covering the floor, bedside table, bed linens, gown, inside her incontinence brief, and on her body. The resident, who had moderate cognitive impairment and required staff assistance to get out of bed, complained of itching and had numerous small, reddened areas on her body. The ants were identified as small black ants, and the resident was moved to another room after the infestation was discovered. Another resident, residing on the same hall, experienced a similar issue on June 26, 2024. This resident, who was cognitively intact but required extensive staff assistance to turn and reposition in bed, was found with small black ants all over the floor, furniture, bed linens, and clothing. Although the resident did not report any itching or bites, the presence of ants was significant enough to necessitate a room change. The facility's pest control logs indicated that a routine inspection had been conducted on June 17, 2024, with no ant activity noted, yet the infestation occurred shortly thereafter. Interviews with staff revealed that ants had been observed in the facility prior to these incidents, but the severity of the infestation in the residents' rooms was unprecedented. The Maintenance Supervisor was notified and took immediate action by spraying the affected areas, but the pest control company was not called until later. The pest control technician identified and treated fire ant mounds on the exterior of the facility, which were believed to be the source of the infestation. The facility's failure to promptly address the pest issue and ensure effective pest control measures led to the residents being exposed to the ant infestation.
Removal Plan
- Identify those recipients who have suffered, or are likely to suffer, a serious adverse outcome as a result of the noncompliance.
- Clean and sanitize the room and check adjoining rooms for pests.
- Initiate daily inspection of all rooms for any signs of pests.
- Call Pest control to come to the facility and spray rooms. Proactively treat the exterior perimeter and treat fire ant mounds on the exterior of the facility.
- Complete ongoing pest control monitoring of all areas without additional identification of pests.
- Conduct skin checks on all residents to identify any skin concerns associated with pest/insect bites.
- Conduct room checks to identify any pests in the facility.
- Educate the Maintenance Supervisor to notify pest control immediately upon identifying any pests.
- Call pest control to do a thorough inspection and provide treatments as needed.
- Begin in servicing all staff on the need to provide effective Pest management to ensure residents are safe from ants and pests. This education will be provided to new hires during the orientation process. No staff shall work without this education. Monitor to ensure no staff works without completing the education.
- Maintain high standards of cleanliness and sanitation throughout the facility to eliminate food and water sources that attract pests. Ensure proper storage and disposal of waste to prevent attracting pests. Educate staff to ensure food is stored properly, waste is disposed of properly, and maintain cleanliness to reduce the risk of pest infestations.
- Inspect and repair any structural issues, such as cracks, holes, or gaps that could allow pests to enter the building.
- Conduct regular inspections of all areas of the facility, including resident rooms, common areas, kitchens, and storage areas to identify any signs of pest activity.
- Maintain detailed records of all pest control activities, including inspection reports, treatment records, and any actions taken to address identified issues.
- Educate staff to recognize signs of pest activity, understand the importance of maintaining a pest-free environment, and know how to report any pest sightings or concerns immediately. Report any pest sightings immediately to the Maintenance Supervisor or the on-call Administration.
- Address any concerns or complaints from residents or their families regarding pest control promptly and effectively.
Failure to Attempt Gradual Dose Reduction of Psychotropic Medications
Penalty
Summary
The facility failed to attempt a gradual dose reduction (GDR) of psychotropic medications for a resident, despite recommendations from the Consultant Pharmacist. The resident was admitted with diagnoses including anxiety, insomnia, and major depressive disorder, and was receiving antipsychotic, hypnotic, and antidepressant medications. The Minimum Data Set (MDS) annual assessment indicated that the resident had not undergone a GDR for the antipsychotic medication, and there was no documentation of clinical contraindications for such an attempt. The Consultant Pharmacist repeatedly notified the attending physician and Nurse Practitioner (NP) about the need for a GDR, but the responses indicated that the resident was followed by an outpatient psychiatrist, without providing the necessary documentation to support this claim or to show that a GDR was clinically contraindicated. The Consultant Pharmacist's notes from multiple dates highlighted the need for a GDR evaluation for the resident's medications, including zolpidem, bupropion extended release, and paliperidone. Despite these notifications, the facility did not obtain the required documentation from the outpatient psychiatrist to confirm that the resident's psychotropic medications were being appropriately monitored. Interviews with the Support Nurse, NP, and Medical Director revealed that they had all requested the outpatient psychiatric records but had not received any documentation. The Support Nurse mentioned attempts to contact the outpatient psychiatrist without success, and the NP and Medical Director both stated that they had asked the facility to obtain the necessary records multiple times. The lack of documentation and follow-up on the Consultant Pharmacist's recommendations led to the failure to attempt a GDR for the resident's psychotropic medications. The facility's inability to secure the outpatient psychiatric records and ensure proper monitoring of the resident's medication regimen resulted in a deficiency in the care provided to the resident. The Administrator acknowledged the issue and indicated that the Support Nurse was responsible for coordinating with the NP regarding the resident's outpatient psychiatric visits, but no resolution was achieved.
Failure to Refer Resident for PASRR Level II Screening
Penalty
Summary
The facility failed to refer a resident with a serious mental health diagnosis for a Preadmission Screening and Resident Review (PASRR) level II screening. Resident #38, who was admitted with diagnoses including major depressive disorder and anxiety, was later found to have a diagnosis of schizophrenia. This diagnosis was created on 10/20/23 with an active date of 6/23/23. Despite this, the PASRR Level I Determination Notification dated 3/24/23 indicated no further screening was required unless a significant change occurred. The Minimum Data Set (MDS) annual assessment also noted the resident's schizophrenia diagnosis. The Social Worker, responsible for submitting PASRR notifications, stated she was not aware of the schizophrenia diagnosis and therefore did not submit a review. The Administrator confirmed the Social Worker's responsibility for PASRR reviews.
Failure to Complete Baseline Care Plan Within 48 Hours
Penalty
Summary
The facility failed to ensure a baseline care plan was completed within 48 hours after admission for a resident with diagnoses of cancer, dialysis, and diabetes. The resident's medical record showed that the baseline care plan was started but only the medication regimen section was completed within the required timeframe. Other critical sections, including health conditions, dietary, therapy, and social services, were not completed. Interviews with the Director of Nursing, Administrator, and MDS Nurse revealed that the Social Worker was responsible for the care plans, but the MDS Nurse only worked part-time and checked the care plan for nursing team entries. This led to the incomplete baseline care plan for the resident, who was severely cognitively impaired, dependent on staff for activities of daily living, incontinent of bowel, and receiving dialysis.
Failure to Implement Physician Orders for Hemodialysis Care
Penalty
Summary
The facility failed to obtain and implement physician orders for the care and monitoring of a resident on hemodialysis. Resident #15, who was admitted with end-stage renal disease and dependent on dialysis, had an arteriovenous (AV) fistula placed in the right upper arm. Despite the dialysis center's request to note on the resident's chart that no intravenous (IV) or blood pressure (BP) should be taken in the right arm, the facility did not have active physician orders for monitoring the AV fistula site, nor for the restrictions on IV and BP in the right arm. Interviews with various nursing staff revealed a lack of awareness and follow-through regarding the necessary physician orders for Resident #15's AV fistula care. Nurse #2 and Nurse #5 both acknowledged the absence of specific orders for monitoring the AV fistula site and the restrictions on the right arm. The Registered Nurse (RN) Supervisor and the Director of Nursing (DON) confirmed that the nurse receiving the resident post-surgery should have entered the necessary orders and reviewed the dialysis communication book, but this was not done. The Medical Director and the Administrator also confirmed that the required orders for monitoring the AV fistula site and the restrictions on the right arm were not in place. The DON stated that the surgical discharge summary should have been reviewed and followed up on, but this did not occur. The deficiency was further highlighted by the fact that Resident #15, who was cognitively intact, reported that the nursing staff did not check her AV fistula site every shift, and there was no documentation in her medical record regarding the necessary care and restrictions for her AV fistula site.
Failure to Obtain Outpatient Psychiatrist Visit Notes
Penalty
Summary
The facility failed to obtain outpatient psychiatrist visit notes for a resident prescribed psychotropic medication. Resident #38, who was admitted with diagnoses including anxiety, insomnia, and major depressive disorder, was receiving outpatient psychiatric services. However, the facility did not have any documentation of these outpatient psychiatric appointments or supporting clinical documentation from the outpatient psychiatric provider. The Consultant Pharmacist had notified the provider about the lack of documentation and requested follow-up, but no records were obtained. The Support Nurse confirmed that the facility was unable to locate any information regarding the resident's telehealth visit with the outpatient psychiatrist and was unable to contact the provider's office. Interviews with the Consultant Pharmacist and the Nurse Practitioner revealed that both had repeatedly asked the facility to obtain the outpatient psychiatric visit records to ensure proper monitoring of the resident's psychotropic medications. Despite these requests, the facility did not have any of the necessary records. Attempts to contact the outpatient psychiatrist provider were unsuccessful, and the facility was unable to provide the required documentation for Resident #38's psychiatric care.
Failure to Maintain Medication and Immunization Protocols
Penalty
Summary
The facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions that were put into place following multiple surveys. Specifically, the facility was cited for deficiencies in the areas of labeling and storing drugs and biologicals, as well as administering influenza and pneumococcal vaccines. During the recertification and complaint investigation survey, the facility failed to keep medication and treatment carts locked, maintain medication cart drawers free of loose medications, and discard expired medications. These issues persisted during subsequent surveys, including the failure to discard expired controlled substances and properly date opened vials of insulin. Additionally, the facility failed to administer the pneumococcal vaccine to eligible residents. During the recertification and complaint investigation survey, it was found that the facility did not offer the Pneumococcal Polysaccharide Vaccine (PPSV23) a year following the Pneumococcal Conjugate Vaccine (PCV13) for residents who had consented to the vaccination. This failure was observed in two residents reviewed for immunizations. The Administrator confirmed that medication cart audits were performed daily, but an audit was missed due to the entrance of the state survey team.
Failure to Administer Pneumococcal Vaccine
Penalty
Summary
The facility failed to offer and administer the pneumococcal vaccine to two residents, despite having received consent from their responsible parties. Resident #19 was admitted with a diagnosis of intracranial injury with loss of consciousness. Although the responsible party gave authorization for the pneumococcal vaccine, the resident was not offered the vaccine, and the immunization record incorrectly showed consent refused. The Infection Preventionist later documented that Resident #19 declined the vaccine, but the responsible party insisted on its importance and confirmed that the resident had not received it at a previous facility. Resident #43, admitted with a diagnosis of encephalopathy, also did not receive the pneumococcal vaccine despite consent from the responsible party. The immunization record indicated that the vaccine was required but not given. The Infection Preventionist confirmed that the vaccine should have been administered, and the Administrator acknowledged that the nursing staff should have contacted the provider to ensure the vaccine's timely arrival and administration. Both cases highlight a failure in the facility's process for managing and documenting vaccinations.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Louisburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Franklin Oaks Nursing And Rehabilitation Center | 1.7 mi | — | 0 | 0 |
| Hillside Nursing Center Of Wake Forest | 14.7 mi | — | 0 | 0 |
| Kerr Lake Nursing And Rehabilitation Center | 15.9 mi | — | 2 | 0 |
| Senior Citizens Home | 16 mi | — | 3 | 0 |
| Camellia Gardens Center For Nursing And Rehab | 16.8 mi | — | 7 | 1 |
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