Louisburg Healthcare & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Louisburg Healthcare & Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF925Jul 10, 2024

  Based on observations, record review, staff and resident interviews, pest control technician interviews, and Nurse Practitioner interviews, the facility failed to maintain an effective pest control program to protect vulnerable residents from ants. On 6/23/24 Resident #1 was observed in bed with small black ants all over the floor, bedside table, bed linens, her gown, inside her incontinence brief, and on her body. Resident #1 complained of itching everywhere and had numerous small, reddened areas spread across the back and sides of her body. On 6/26/24 Resident #2 was observed in bed with small black ants all over the floor, furniture, bed linens, and clothing of Resident #2. […]

• Immediate jeopardy, isolatedF684Sep 1, 2023

  Based on record review, and staff, Emergency Medical Services (EMS) personnel, and Medical Director interviews, the facility failed to identify the urgent need for medical attention for a resident with new onset seizure activity on 8/12/23 at approximately 10:30 am which is a medical emergency. They did not immediately initiate EMS (Emergency Medical Services) to transfer the resident to an acute care hospital for medical evaluation and interventions for 1 of 2 residents reviewed with a medical emergency. EMS was contacted at 10:58 am and upon their arrival Resident #1 continued with seizure activity and required 3 doses of Versed (a medication used to stop a seizure) for seizure activity to cease. […]

• Immediate jeopardy, isolatedF689Jan 23, 2023

  Based on record review and interviews with Orthopedic Surgeon, Nurse Practitioner (NP), Medical Director, and staff, the facility failed to safely transfer a dependent resident for 1 of 3 residents reviewed for supervision to prevent accidents (Resident #1). On 12/23/22 Resident #1, a resident totally dependent for 2 staff's assistance and a mechanical lift for transfers, fell while being transferred by Nursing Assistant #1 and Nursing Assistant #2 without a mechanical lift. Resident #1 experienced pain rated a 10 out of 10 (with 10 representing the worst pain imaginable), she suffered femur (thigh bone) fractures to both legs, and she underwent two orthopedic surgeries to address the fractures. […]

• No harm, potential for more than minimal, widespreadF563Jul 28, 2021

  Based on observations, family interviews, resident interviews, and staff interviews, the facility imposed a restricted visitation schedule that prohibited indoor visitation and restricted outdoor visitation of family and friends for 7 of 7 residents reviewed for visitation. (Resident #27, Resident #19, Resident #36, Resident #40, Resident #54, Resident #23, Resident #45). The findings included: 1. Resident #27 was admitted to the facility on [DATE] with a readmitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] Review of the most recent quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #27 had severe cognitive impairment and required extensive assistance with one person for activities of daily living. […]

• No harm, potential for more than minimal, patternF565Mar 6, 2025

  Based on record review, and staff and resident interviews, the facility failed to provide resolution of Resident Council Meeting grievances for 4 of 11 monthly Resident Council Meetings. The Resident Council had repeated concerns regarding a wider variety of drink options and clothes/items not coming back from laundry (7/24/24, 8/28/24, 9/23/24, and 10/29/24). The findings included: a. On 7/24/24 the Resident Council Meeting Minutes noted a dietary concern that there were not enough beverage options. A housekeeping concern was also discussed about clothes/items not being returned from laundry. The follow-up/intervention section of the form was blank. b. […]