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Nursing HomeMedicaid Investigative

Louisburg Healthcare & Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

202 Smoketree Way, Louisburg, NC 2754992 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 31 Google reviews

5
4
3
2
1
Louisburg Healthcare & Rehabilitation Center Nursing Home in Louisburg, NC — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (7 vs median 4.0)
  • High staff turnover (71%)
  • High RN turnover (82%)

Bottom 25% in NC · Critically understaffed (RN) · Very high staff turnover · Worst in LIBERTY SENIOR LIVING chain · $153,104 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its physical therapy and admissions support, making it a potential candidate for short-term rehab. However, the recurring reports of neglect and communication failures are critical red flags; if you choose this facility, ensure you have a direct line to a specific staff member and visit frequently to monitor your loved one's daily care.

Google Reviews

Google Reviews

31 reviews on Google
Louisburg Healthcare & Rehabilitation Center receives highly polarized feedback, with many families praising the physical therapy team and admissions staff for their compassion and professionalism. However, there are recurring, serious reports of neglect, including failure to assist with feeding, poor responsiveness to call lights, and difficulty reaching staff via phone. Families should weigh the strong rehabilitation outcomes against significant concerns regarding basic daily care and communication.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean8.0Activities9.0Meds4.0Memory7.0Comms2.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy teams
  • Helpful and compassionate admissions staff
  • Clean and well-maintained facility environment
  • Responsive to family requests when reached

Concerns

  • Neglect of basic needs (feeding, hygiene, call light response) (mentioned by 6 reviewers)
  • Poor communication and inability to reach staff by phone (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.02019(1)2.02021(1)3.32022(6)3.22023(14)2.32024(3)4.02025(4)4.62026(5)

Distribution · 34 analyzed

5
18
4
3
3
1
2
1
1
11

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you translate that commitment to responsiveness into your daily communication with families when they call the facility?
  • 2Given that your therapy department receives such high praise, how do you ensure that same level of dedicated attention carries over into daily assistance with hygiene and feeding routines?
  • 3With a 1-star CMS staffing rating, what specific protocols do you have in place to ensure call lights are answered promptly and residents' basic needs are met consistently throughout the shift?
  • 4Since medication management is a critical part of care, could you walk me through your process for ensuring accuracy and timely administration for residents?
  • 5I see the facility is well-maintained, but how do you foster a warm, professional culture among the staff to ensure every resident feels treated with kindness and respect?
  • 6What does a typical day look like for residents in terms of social engagement and activities, and how do you encourage participation for those who might be more reserved?

Personalized based on this facility's data


Key Review Excerpts

The staff, nurses, and doctors at all 3 divisions were always compassionate, patient and helpful. The sleeping rooms, common areas and bathrooms are clean.

Long-term resident's family · 2025★★★★★

I laid in a wet diaper for four hours once and most times at least 1 to 2. I can talk. If you can't good luck. Rudest CNA's on the planet

Rehab patient · 2024☆☆☆☆

My mother was in rehab here for a second time this year, for one month this time recovering from partial hip replacement surgery. I again was very pleased with the care and compassion shown to her

Rehab patient's family · 2022★★★★★
Source: 31 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.07hrs
75%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
15.3%
NC
20.2%
Franklin
16.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.9%
Better than Avg
Here
14.9%
US
19.5%
NC
21.5%
Franklin
22.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
12.1%
NC
5.4%
Franklin
12.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
93.4%
NC
91.7%
Franklin
95.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
14.4%
NC
16.4%
Franklin
14.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.5%
Worse than Avg
Here
11.5%
US
5.3%
NC
7.2%
Franklin
6.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.0%
Better than Avg
Here
92.0%
US
81.8%
NC
80.1%
Franklin
85.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.8%
Better than Avg
Here
87.8%
US
79.8%
NC
78.1%
Franklin
78.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
1.6%
NC
1.5%
Franklin
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
5penalties
Above state avg (5.6)
11 complaint-triggered
$153,104 in fines

Families have filed 11 complaints triggering federal inspections, with recurring issues in medication management, fire safety systems, and care planning. The facility shows persistent problems with medication errors and drug labeling across multiple surveys, while fire safety deficiencies repeatedly appear. Most violations have correction dates, though some recent issues from March 2025 suggest ongoing challenges with basic resident rights and nursing coverage that families should investigate further.

Mar 6, 2025Routine
8
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0727Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0916Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0585Minimal · PatternCorrected

Resident Rights Deficiencies

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, 2025Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

Aug 28, 2024Complaint
2
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Jul 10, 2024Complaint
1
0925Immediate jeopardy · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Mar 6, 2024Routine
11
0500Potential for harm · WidespreadCorrected

Services Deficiencies

Meet other general requirements that are deficient.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Mar 6, 2024Complaint
1
0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Federal Penalties

Fine

Jul 10, 2024

$133,854

Payment Denial

Jul 10, 2024

40-day denial

Fine

Sep 1, 2023

$3,981

Fine

Sep 1, 2023

$15,269

Payment Denial

Sep 1, 2023

32-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Louisburg Healthcare & Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Liberty Senior Living

Chain Size

37 facilities nationwide

Chain avg rating: 2.6/5 · Rank 35 of 35 (Worst)

Ownership & Management

Owners

Liberty Long Term Care LLC

Owner · Organization

John a Mcneill Jr 2012 Irrv Tr

Owner (parent company) · Organization

Liberty Healthcare Group LLC

Owner (parent company) · Organization

Ronald B. and Cynthia J. Mcneill 2013 Irrevocable Trust

Owner (parent company) · Organization

Mcneill, John

Owner (parent company)

Mcneill, Ronald

Owner (parent company)

Key personnel

Purvis, JennyTrustee of the SnfJohn a Mcneill Jr 2014 Irrevocable TrustAdp of the SnfLiberty Healthcare Management INCAdp of the SnfLiberty Real Properties II LLCAdp of the SnfLong Term Care Management Services LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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