Home / North Carolina / Louisburg
Franklin Oaks Nursing and Rehabilitation Center
1704 Nc Highway 39 N, Louisburg, NC 27549 · Franklin County · (919) 496-7222
166 certified beds, about 145 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345335 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 8, 2025, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 18 health citations since January 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.39 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
28.6% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
501/23
1004/24
305/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
6E
1F
Potential for minimal harm
0A
0B
0C
May 8, 2025Standard inspection · 3 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observations and staff interviews the facility failed to ensure the dumpster was maintained free of leakage and pooled spillage for 1 of 1 dumpster. This practice had the potential to attract pests and rodents.
- D 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.
Inspectors wroteBased on record review and interviews with residents and staff, the facility failed to notify residents and resident representatives of the results of the investigation and any corrective measures taken or to be taken by the facility as a result of the grievance. The facility also failed to ensure the residents' right to receive written notification of the decision regarding the grievance investigation and the date the decision was issued for 3 of 3 residents reviewed for the grievance process (Resident #42, Resident #52, Resident #95).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on staff interview and record review, the facility failed to refer a resident with a newly identified serious mental illness for a Level II Preadmission Screening and Resident Review (PASRR) for 1 of 2 residents reviewed for PASSR (Resident #9).
April 18, 2024Standard inspection · 10 citations
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review, staff interviews, and Medical Director interview, the facility failed to maintain ongoing communication with the dialysis treatment center for 1 of 1 residents reviewed for dialysis (Resident #23).
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on a lunch meal tray line observation, staff interviews and record review the facility failed to provide pureed food items with a smooth consistency. This failure had the potential to affect 21 of 21 residents who had diet orders for a pureed diet texture.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interviews, the facility failed to allow cook pans and dome lids to completely dry prior to assemblage and stacking for three of three observations. The facility also failed to clean the convection ovens. These practices had the potential to affect food served to residents.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to maintain an effective pest control program as evidenced by observations of fly activity in the kitchen on 3 different occasions. The facility failed to utilize insect light traps and implement pest service recommendations to prevent reoccurring pest activity. This practice had the potential to affect residents in the facility.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on record review, staff and resident interviews, the facility failed to invite the resident to participate in the care planning process for 1 of 26 residents whose care plans were reviewed (Resident #84).
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and staff interviews, the facility failed to complete a Minimum Data Set (MDS) significant change assessment within 14 days for the use of a soft belt restraint for 1 of 1 resident reviewed for restraints (Resident #1).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the area of restraints for 1 of 1 resident reviewed for restraints (Resident #1).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interviews and record review, the facility failed to maintain a complete and accurate medical record for 1 of 26 residents' medical records reviewed (Residents #79).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record review, and staff interviews the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the 2/4/22 recertification and complaint investigation survey. This was for one deficiency previously cited in the area of infection prevention and control (F880). This deficiency was recited during the facility's current recertification survey of 4/18/24. The continued failure of the facility during 2 federal surveys shows a pattern of the facility's inability to sustain an effective QAA Program.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to handle visibly soiled and wet linen to avoid contamination of staff clothing for 1 of 1 laundry aides observed (Laundry Aide #1).
January 12, 2023Standard inspection · 5 citations
- G Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, resident and staff interview the facility failed to maintain residents ' dignity by failing to provide incontinence care when a nurse aide (NA #2) told a resident he would have to wait (Resident # 36). This made Resident #36 feel embarrassed and uncared for. The facility also failed to maintain a residents' dignity by allowing a resident to sit in a soiled brief during her meal (Resident #235). Resident #325 stated she felt like poop and complained of being uncomfortable and burning to her skin. This occurred for 2 of 2 residents (Resident #36, Resident #235) reviewed for dignity and respect.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record review, resident and staff interview the facility failed to provide Activities of Daily Living (ADL) care to residents who were dependent on staff assistance for 3 of 3 residents (Resident #36, Resident #235, Resident #8) reviewed for ADL care.
- E Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspectors wroteBased on observation and staff interview the facility failed to provide privacy curtains wide enough for visual privacy around the beds of 3 of 3 rooms on the 400 Hall (room [ROOM NUMBER], 415, 404) and 6 of 6 rooms on the 300 Hall (room [ROOM NUMBER], 330, 335, 332, 338, 341)
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record reviews, staff, and Responsible Party (RP) interviews, the facility failed to notify the RP of a medication change for 1 of 1 resident sampled (Resident #6) reviewed for notification of change.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record reviews, staff, and Responsible Party interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put in place following the complaint survey conducted on 3/4/21. This was for a recited deficiency on the current recertification and complaint survey in the area of notification of changes. The continued failure during two federal surveys shows a pattern of the facility's inability to sustain an effective QAA program.
Fire safety inspections
11 fire safety citations on file: 5 on April 18, 2024, 3 on January 12, 2023, 3 on February 4, 2022.
Every fire safety citation11 citations
- F Install corridor and hallway doors that block smoke.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Use approved construction type or materials.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have properly installed electrical wiring and gas equipment.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install proper backup exit lighting.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.39 | 3.85 | 3.86 |
| Registered nurses | 0.35 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.25 | 3.42 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 28.6% | 49.0% | 45.8% |
| Registered nurse turnover | 23.1% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.53 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.45 on weekdays and 3.25 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.45 in April to June 2025 to 3.39 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.39 | 0.35 | 3.45 | 3.25 | 0.0% | 0 of 90 | 145 |
| Oct to Dec 2025 | 3.42 | 0.40 | 3.50 | 3.23 | 0.0% | 0 of 92 | 142 |
| Jul to Sep 2025 | 3.38 | 0.46 | 3.44 | 3.24 | 0.0% | 0 of 92 | 138 |
| Apr to Jun 2025 | 3.45 | 0.56 | 3.54 | 3.21 | 0.0% | 0 of 91 | 131 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for North Carolina
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.2 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: EAGLE PEAK LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Boice, Gale | Corporate officer | Individual | 03/05/2018 | |
| Johnson, Dianne | Corporate officer | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Operational/managerial control | Organization | 01/01/2011 | |
| Bullock, Lynn | Operational/managerial control | Individual | 11/07/2011 | |
| Hill, Raymond | Operational/managerial control | Individual | 01/01/2011 | |
| Hill, Robert | Operational/managerial control | Individual | 01/01/2011 | |
| Hill, Stephen | Operational/managerial control | Individual | 01/01/2011 | |
| Principle Long Term Care, Inc. | Adp of the SNF | Organization | 04/10/2025 | |
| Bullock, Lynn | Adp of the SNF | Individual | 04/10/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on May 8, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 8, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on May 8, 2025: "Dispose of garbage and refuse properly."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 18, 2024: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Louisburg Healthcare & Rehabilitation Center Louisburg, 1.7 mi · 1 of 5 stars · 27 citations
- Hillside Nursing Center of Wake Forest Wake Forest, 13.7 mi · 5 of 5 stars · 1 citation
- Kerr Lake Nursing and Rehabilitation Center Henderson, 17.4 mi · 4 of 5 stars · 10 citations
- Senior Citizens Home Henderson, 17.4 mi · 1 of 5 stars · 26 citations
- Camellia Gardens Center for Nursing and Rehab Henderson, 18.3 mi · 1 of 5 stars · 37 citations
- Zebulon Rehabilitation Center Zebulon, 18.6 mi · 4 of 5 stars · 11 citations
- Perry Creek Health and Rehabilitation Center Raleigh, 19.9 mi · 1 of 5 stars · 85 citations
- Litchford Falls Health and Rehabilitation Center Raleigh, 21.8 mi · 1 of 5 stars · 22 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Franklin Oaks Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Franklin Oaks Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Franklin Oaks Nursing and Rehabilitation Center get at its last inspection?
- 3 health deficiencies at the standard inspection on May 8, 2025. The North Carolina average is 4.7.
- Has Franklin Oaks Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Franklin Oaks Nursing and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Franklin Oaks Nursing and Rehabilitation Center?
- CMS lists 9 owners and managers, and links the home to Principle Long Term Care. Legal business name: EAGLE PEAK LTC GROUP, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.