Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Louisa Health & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple chronic conditions experienced a fall resulting in a skin tear. An LPN assessed the resident and notified the unit manager and NP, but did not inform the resident's family or responsible party, mistakenly believing the resident was their own responsible party. Review of records and staff interviews confirmed the lack of required notification.
A resident with multiple chronic conditions did not have several doses of Gabapentin properly documented on the MAR, despite evidence from a narcotic sign-out sheet that the medication was distributed. The nurse responsible was no longer employed, and facility policy requires immediate documentation of medication administration on the MAR.
Failure to Notify Responsible Party of Resident Fall with Injury
Penalty
Summary
Facility staff failed to notify the responsible party of a resident's fall with injury. The resident, who had severely impaired cognitive skills and multiple diagnoses including diabetes, chronic kidney disease, osteoporosis, hypertension, depression, and gastroesophageal reflux disease, was found on the floor with a skin tear on the right elbow. The nurse assessed the resident, notified the unit manager and nurse practitioner, and obtained treatment orders, but did not notify the resident's family or responsible party as required. The nurse believed the resident was her own responsible party and did not contact the emergency contact listed in the records. Review of the clinical record confirmed there was no documentation of family notification regarding the fall. Interviews with the nurse, unit manager, and administrator all confirmed that the family was not notified of the incident and that this was not handled according to facility policy, which requires responsible party notification in the event of a change in condition. The deficiency was identified through staff interviews, facility document review, and clinical record review.
Incomplete Medication Administration Record Documentation
Penalty
Summary
Facility staff failed to ensure a complete and accurate clinical record for one resident, as required by professional standards. Specifically, the Medication Administration Record (MAR) for a resident with diagnoses including dementia, peripheral vascular disease, neuropathy, and diabetes was not documented for several scheduled doses of Gabapentin. The MAR lacked documentation for the 2:00 p.m. and 9:00 p.m. doses on one day, and the 9:00 a.m. and 2:00 p.m. doses on the following day. The resident was assessed as cognitively intact at the time of the incident. During the investigation, the facility's nurse consultant confirmed that the nurse responsible for medication administration on the days in question was no longer employed at the facility. Although a narcotic sign-out sheet indicated the medication was distributed, the MAR did not reflect that the medication had been administered as required. Facility policy mandates that the individual administering medication must document the administration on the MAR immediately after giving the medication and review the MAR at the end of each pass to ensure all doses are properly recorded.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 21 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Louisa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dogwood Village Of Orange County Health And Rehab | 17.2 mi | ★★★★★ | 0 | 0 |
| Chelsea Rehabilitation And Healthcare Center | 19.6 mi | ★★★★★ | 0 | 0 |
| Oakhurst Health & Rehabilitation | 20.8 mi | ★★★★★ | 5 | 0 |
| Westminster Canterbury Blue Ri | 23.6 mi | ★★★★★ | 13 | 0 |
| Mountain View Nursing Home | 24.6 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.