Louisburg Healthcare & Rehabilitation Center
A nursing home in Louisburg, North Carolina 27549
202 Smoketree Way, Louisburg, North Carolina 27549. (919) 496-2188.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 4 health citations at the latest inspection cycle North Carolina average: 4.6
- 3.34 nurse hours per resident per day North Carolina average: 3.87
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
4 health citations at the latest inspection cycle
The North Carolina average is 4.6.
Last standard inspection Jun 3, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Jul 10, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
22 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 22 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 3, 2026: standard inspection4 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Ensure services provided by the nursing facility meet professional standards of quality.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 6, 2025: standard inspection5 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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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.
Mar 6, 2025: standard and complaint inspection2 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide appropriate foot care.
Aug 28, 2024: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Jul 10, 2024: complaint inspection1 citation
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Mar 6, 2024: standard inspection7 citations
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Mar 6, 2024: standard and complaint inspection1 citation
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 22, 1991.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 92 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $133,854 in all.
- 1 Medicare payment denial in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 10, 2024 | Medicare payment denial | Not given |
| Jul 10, 2024 | Fine | $133,854 |
Who does the caring?
3.34 nurse hours per resident per day
The North Carolina average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | North Carolina average |
|---|---|---|
| Nurse hours per resident per day | 3.34 | 3.87 |
| Of which registered nurses | 0.36 | 0.62 |
| At weekends | 2.86 | 3.40 |
| Nursing staff turnover | 47.1% | 48.7% |
| Registered nurse turnover | 60% | 45.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Liberty Healthcare Group LLC owns 100% directly since Feb 1, 2020.
- Long Term Care Management Services LLC runs it.
- 6 owners or officers are people: John Albert Mcneill (owns 5% or more through other companies, 26%); Ronald Benjamin Mcneill (owns 5% or more through other companies, 26%); Deidra Sykes (managing employee (on the payroll), 0%); Jeffrey S. Wilson (corporate director); Jeffrey S. Wilson (runs it (operational or managerial control)); Joseph V Calcutt (runs it (operational or managerial control)).
- Part of Liberty Senior Living (37 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Liberty Healthcare Group LLC | Owns 5% or more directly | 100% | Feb 1, 2020 |
| Long Term Care Management Services LLC | Runs it (operational or managerial control) | 100% | Feb 1, 2020 |
| Ronald B. and Cynthia J. Mcneill 2013 Irrevocable Trust | Owns 5% or more through other companies | 24% | Feb 1, 2020 |
| John A Mcneill Jr 2012 Irrv Tr | Owns 5% or more through other companies | 24% | Feb 1, 2020 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (North Carolina average 3.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 22.8 miles, this one had the 7th most health citations at the latest inspection cycle (4; the middle value was 4.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Louisburg Healthcare & Rehabilitation Center This nursing home | 4 | |
| Franklin Oaks Nursing and Rehabilitation Center | 1.7 | 6 |
| Hillside Nursing Center of Wake Forest | 14.7 | 0 |
| Kerr Lake Nursing and Rehabilitation Center | 15.9 | 2 |
| Senior Citizens Home | 16.0 | 3 |
| Camellia Gardens Center for Nursing and Rehab | 16.8 | 7 |
| Zebulon Rehabilitation Center | 20.3 | 2 |
| Perry Creek Health and Rehabilitation Center | 21.1 | 5 |
| Warren Hills Nursing Center | 21.3 | 7 |
| Brantwood NH & Retirement Center | 22.0 | 2 |
| Oxford Health and Rehabilitation Center | 22.3 | 9 |
| Autumn Care of Nash | 22.8 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.