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Franklin Oaks Nursing and Rehabilitation Center
1704 Nc Highway 39 N, Louisburg, NC 27549 (opens Google Maps) · Franklin County · (919) 496-7222· 166 certified beds · avg 145 residents/day · certified since Nov 2, 1990 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
3/5
Health inspection rating (on-site)
inspected May 8, 2025
1
Serious findings on record
most recent Jan 12, 2023
$0
Fines, last 3 years
3.68
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jan 12, 2023 · F-0550
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
▲ Actual harm, isolated · Jan 12, 2023 · F-0550
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 14, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
The facility did not dispose of garbage and refuse properly. F-0814
The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. F-0585
The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. F-0644
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 8, 2025 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| May 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| May 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
| Apr 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Apr 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
| Apr 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Apr 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jan 12, 2023 | ▲ G · Actual harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jan 12, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Jan 12, 2023 | E · Potential for more than minimal harm, pattern | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · F-0914 |
| Jan 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jan 12, 2023 | D · Potential for more than minimal harm, isolated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 3).
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 1
2024
All citations: 10
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | G ▲ |
| 2024 | 10 | 0 | E |
| 2025 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.68
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.38
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.53
North Carolina average: 3.56
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.68 | 4.01 | 3.95 | top 49% in North Carolina; bottom 46% in the U.S. |
| Registered Nurse hours | 0.38 | 0.64 | 0.69 | bottom 22% in North Carolina; bottom 19% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.56 | 3.50 | top 34% in North Carolina; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.41 | 0.48 | bottom 30% in North Carolina; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 28.6 | 49.0 | 45.8 | top 8% in North Carolina; top 12% in the U.S. |
| RN turnover (%) | 23.1 | 45.7 | 42.9 | top 16% in North Carolina; top 18% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.35, weekend 3.25.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.39 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Franklin Oaks Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Boice, Gale | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2018 |
| Bullock, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/07/2011 |
| Bullock, Lynn | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Hill, Raymond | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Hill, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Hill, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Johnson, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Principle Long Term Care, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Principle Long Term Care, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Principle Long Term Care — 40 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Graham Healthcare and Rehabilitation Center — Robbinsville, NC · overall 2/5abuse
- Grantsbrook Nursing and Rehabilitation Center — Grantsboro, NC · overall 5/5
- Greendale Forest Nursing and Rehabilitation Center — Snow Hill, NC · overall 1/5
- Greenhaven Health and Rehabilitation Center — Greensboro, NC · overall 3/5abuse
- Harmony Hall Nursing and Rehabilitation Center — Kinston, NC · overall 3/5
- Harnett Woods Nursing and Rehabilitation Center — Dunn, NC · overall 5/5
- Jacob's Creek Nursing and Rehabilitation Center — Madison, NC · overall 5/5
- Kerr Lake Nursing and Rehabilitation Center — Henderson, NC · overall 4/5
Listed by state, then facility name — not a ranking. Showing 8 of the 39 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can I see where garbage is stored and how often it's removed?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 29% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Louisburg Healthcare & Rehabilitation Center | 1.6 mi | Louisburg, NC | ★☆☆☆☆ | 2/5 | |
| Hillside Nursing Center of Wake Forest | 13.7 mi | Wake Forest, NC | ★★★★★ | 5/5 | |
| Kerr Lake Nursing and Rehabilitation Center | 17.4 mi | Henderson, NC | ★★★★☆ | 4/5 | |
| Senior Citizens Home | 17.4 mi | Henderson, NC | ★☆☆☆☆ | 3/5 | |
| Camellia Gardens Center for Nursing and Rehab | 18.3 mi | Henderson, NC | ★☆☆☆☆ | 1/5 | |
| Zebulon Rehabilitation Center | 18.6 mi | Zebulon, NC | ★★★★☆ | 4/5 | |
| Perry Creek Health and Rehabilitation Center | 19.9 mi | Raleigh, NC | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 345335.
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