All citations for Louisburg Healthcare and Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Louisburg Healthcare and Rehabilitation Center

Last standard health inspection on record

August 26, 2025

Showing 1 to 25 of 30 citations

  1. Immediate jeopardy to resident health or safety

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    Widespread (many residents). CMS level L.

    Fire safety citation K-0111, Construction Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  2. Immediate jeopardy to resident health or safety

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level L.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  3. Immediate jeopardy to resident health or safety

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level L.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  4. Immediate jeopardy to resident health or safety

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level L.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  5. Immediate jeopardy to resident health or safety

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level K.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of January 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2022).

  6. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  7. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  8. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 29, 2025).

  9. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  10. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  11. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  12. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  13. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  14. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  15. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  16. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  17. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  18. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2022).

  19. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2022).

  20. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 5, 2022. Found during a standard inspection.

    A waiver was granted (February 10, 2022).

  21. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

  23. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of October 30, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  24. No harm, with potential for more than minimal harm

    Have restrictions on the use of highly flammable decorations.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of January 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 11, 2022).

  25. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 26, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 22, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.