Louisburg Healthcare & Rehabilitation Center — nursing home in Louisburg, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 92 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 82.7 CMS, MDS-derived
CMS Certification Number: 345358
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 22, 1991
Ownership type: For profit - Limited Liability company
Operator (legal business name): Liberty Healthcare Group LLC
CMS chain: Liberty Senior Living 37 facilities
Phone: (919) 496-2188
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Jun 3, 2026

Citations

36

26 health · 10 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D28	E2	F2
Minimal	A·	B3	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$133,854

Payment denials

1

Latest

Jul 10, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345358
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 92
First approved: Mar 22, 1991
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 3, 2026	Health	Health Standard	4	Potential harm	—	Open →
Mar 6, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 6, 2025	Health	Health Complaint, Health Standard	7	Potential harm	1	Open →
Aug 28, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jul 10, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Mar 6, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 6, 2024	Health	Health Complaint, Health Standard	8	Potential harm	—	Open →
Oct 5, 2023	Health	Health Complaint	4	Potential harm	1	Open →
Dec 14, 2022	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jul 10, 2024	Denial of payment for new admissions	—	Aug 8, 2024 · 40 days	345358\|Payment Denial\|2024-08-08
Jul 10, 2024	Civil money penalty (fine)	$133,854	—	345358\|Fine\|42509

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K1	L·
Actual harm	G·	H·	I·
Potential harm	D28	E2	F2
Minimal	A·	B3	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 3, 2026	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 23, 2026
Jun 3, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 23, 2026
Jun 3, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 23, 2026
Jun 3, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	No revisit needed Jun 23, 2026
Mar 6, 2025	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 6, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 6, 2025	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2025
Mar 6, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2025	Complaint
Mar 6, 2025	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 6, 2025	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 27, 2025
Mar 6, 2025	F-0687	Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2025	Complaint
Mar 6, 2025	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 6, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 27, 2025
Mar 6, 2025	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Plan of correction, not yet verified Mar 27, 2025
Aug 28, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 17, 2024	Complaint
Aug 28, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 17, 2024	Complaint
Jul 10, 2024	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	K · Immediate jeopardy Pattern	Corrected Aug 28, 2024	Complaint
Mar 6, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2024
Mar 6, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2024
Mar 6, 2024	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 4, 2024
Mar 6, 2024	K-0915	Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 4, 2024
Mar 6, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 23, 2024
Mar 6, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 23, 2024
Mar 6, 2024	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2024
Mar 6, 2024	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 11, 2024
Mar 6, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 11, 2024	Complaint
Mar 6, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2024
Mar 6, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Mar 23, 2024
Mar 6, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 11, 2024
Oct 5, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 28, 2023	Complaint
Oct 5, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 28, 2023	Complaint
Oct 5, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 28, 2023	Complaint
Oct 5, 2023	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Oct 28, 2023	Complaint
Dec 14, 2022	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2023
Dec 14, 2022	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2023
Dec 14, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.34

State avg 3.87US avg 3.90

Registered nurse (RN)0.36

State avg 0.62US avg 0.69

Licensed practical nurse0.87

State avg 0.88US avg 0.86

Nurse aide2.11

State avg 2.37US avg 2.35

Weekend total nurse2.86

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.25 (case-mix index 1.44).

Staff turnover

Total nursing staff turnover47.1%

State avg 48.7%US avg 45.3%

Registered nurse turnover60.0%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 3, 2026
Cycle 1 health score: 12
Total weighted score: 47

Operating entity

Liberty Healthcare Group LLC

CMS legal business name of the certified provider. Operates 30 facilities.

VerifiedLinked by exact legal name

CMS chain

Liberty Senior Living

37 facilities in 2 states. CMS chain ID 310.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

6

Organizations

2

Individuals

4

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Liberty Healthcare Group LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 1, 2020

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Liberty Healthcare Group LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 1, 2020
Long Term Care Management Services LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2020
Joseph Calcutt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2020
Jeffrey Wilson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2020
Jeffrey Wilson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 1, 2020
Deidra Sykes	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Sep 5, 2023

Other facilities operated by Liberty Healthcare Group LLC

All 29 →

Facility	Beds	Last inspection	Citations (window)	Fines
Royal Park Rehabilitation & Health Center 2700 Roal Commons Lane, Matthews, NC 28105 CCN 345026	169	Dec 5, 2025	331 IJ3 harm	$40k
Summerstone Health and Rehabilitation Center 485 Veterans Way, Kernersville, NC 27284 CCN 345039	138	May 7, 2026	311 IJ1 open	$15k
The Foley Center at Chestnut Ridge 621 Chestnut Ridge Parkway, Blowing Rock, NC 28605 CCN 345045	92	Sep 17, 2026	293 IJ1 harm1 open	$17k
Yadkin Nursing and Care Center 903 W Main Street, Yadkinville, NC 27055 CCN 345167	147	Mar 5, 2026	101 harm	$8,018
Capital Nursing and Rehabilitation Center 3000 Holston Lane, Raleigh, NC 27610 CCN 345202	125	Aug 7, 2025	193 open	—
Liberty Commons Nursing and Rehabilitation Center 1402 Pinckney Street, Whiteville, NC 28472 CCN 345207	107	Jul 10, 2025	302 IJ4 harm1 open	$115k
Elizabethtown Healthcare & Rehab Center 208 Mercer Mill Road, Elizabethtown, NC 28337 CCN 345210	94	Sep 16, 2025	171 harm1 open	$8,788
Westfield Rehabilitation and Health Center 3100 Tramway Road, Sanford, NC 27330 CCN 345216	83	Aug 21, 2025	201 harm1 open	$8,278

Same chain in North Carolina

All 36 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Royal Park Rehabilitation & Health Center 2700 Roal Commons Lane, Matthews, NC 28105 CCN 345026	169	Dec 5, 2025	331 IJ3 harm	$40k
Summerstone Health and Rehabilitation Center 485 Veterans Way, Kernersville, NC 27284 CCN 345039	138	May 7, 2026	311 IJ1 open	$15k
The Foley Center at Chestnut Ridge 621 Chestnut Ridge Parkway, Blowing Rock, NC 28605 CCN 345045	92	Sep 17, 2026	293 IJ1 harm1 open	$17k
Woodhaven Nursing Center 1150 Pine Run Drive, Lumberton, NC 28358 CCN 345054	115	Jul 9, 2026	463 IJ4 harm1 open	$145k
Yadkin Nursing and Care Center 903 W Main Street, Yadkinville, NC 27055 CCN 345167	147	Mar 5, 2026	101 harm	$8,018
Capital Nursing and Rehabilitation Center 3000 Holston Lane, Raleigh, NC 27610 CCN 345202	125	Aug 7, 2025	193 open	—
Liberty Commons Nursing and Rehabilitation Center 1402 Pinckney Street, Whiteville, NC 28472 CCN 345207	107	Jul 10, 2025	302 IJ4 harm1 open	$115k
Elizabethtown Healthcare & Rehab Center 208 Mercer Mill Road, Elizabethtown, NC 28337 CCN 345210	94	Sep 16, 2025	171 harm1 open	$8,788

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 202 Smoketree Way, Louisburg, NC 27549
ZIP: 27549
County: Franklin County FIPS 37069
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Franklin Oaks Nursing and Rehabilitation Center 1704 Nc Highway 39 N, Louisburg, NC 27549 CCN 345335	2.7 km	166		Aug 14, 2026	30	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345358	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345358	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345358

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction