Federal inspection record · CMS data as of October 1, 2026
Louisburg Healthcare & Rehabilitation Center
202 Smoketree Way, Louisburg, NC · (919) 496-2188
- Certified beds
- 92
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 22, 1991
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Louisburg Healthcare & Rehabilitation Center carries 47 inspection points. That is fewer than 35% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
K
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Everything else, by area of care
Pharmacy Service7E
- D
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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
Ensure medication error rates are not 5 percent or greater.
- D
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.
Resident Assessment and Care Planning6D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Rights5E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- B
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.
Quality of Life and Care2D
- D
Provide appropriate foot care.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control2D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
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.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-06-03
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2025-03-06
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-03-06
15 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 20 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 20 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$133,854 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-10 | Fine | $133,854 |
| 2024-07-10 | Payment Denial · 40 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better | 98.7% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better | 1.3% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.9 pts better | 3.9% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 8.5% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.1 pts better | 19.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.1 pts worse | 21.0% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts better | 16.3% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts better | 9.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts better | 0.3% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts worse | 27.0% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts worse | 6.5% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better | 93.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.8 pts worse | 16.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts worse | 2.5% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.3 pts better | 93.4% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission13.9 pts better | 8.3% | 22.2% | 23.4% |
·
Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Liberty Healthcare Group LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Calcutt, Joseph | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Long Term Care Management Services LLC | Operational/Managerial Control · Organization | 0% | 32 facilities |
| Sykes, Deidra | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Wilson, Jeffrey | Corporate Director · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Operational/Managerial Control · Individual | 0% | 37 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6D
- D
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install a fire alarm system that can be heard throughout the facility.
Gas, Vacuum, and Electrical Systems3F
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have proper power supply for life support equipment.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Services1F
- F
Meet other general requirements that are deficient.
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Other homes nearby
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Franklin Oaks Nursing and Rehabilitation Center
Louisburg, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 22 min
- Fines
- $0
-
Hillside Nursing Center of Wake Forest
Wake Forest, NC
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 51 min
- Fines
- $0
-
Kerr Lake Nursing and Rehabilitation Center
Henderson, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 35 min
- Fines
- $19,620