Smithfield Manor Rehabilitation and Healthcare Cen
902 Berkshire Road, Smithfield, NC 27577
Smithfield Manor Rehabilitation and Healthcare Cen, a 160-bed for profit - limited liability company nursing facility in Smithfield, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #394 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 9199343171
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- 1 / 5
- Much below average · CMS overall · nat'l 3.0
- #394 of 415
- In-state rank among rated NC homes
- 3.46
- Below average · nurse hrs/day · nat'l 3.86
- 21
- Inspection findings · 4 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Smithfield Manor Rehabilitation and Healthcare Cen, a 160-bed for profit - limited liability company nursing facility in Smithfield, NC, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #394 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 4 inspection findings reached the actual-harm or immediate-jeopardy level.
- 1 / 5
- CMS overall · national 3.0
- #394 of 415
- In-state rank among rated NC homes
- 3.46
- Nurse hrs/resident-day · national 3.86
- 21
- Inspection findings · 4 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 419 NC nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345175
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 160
- Residents
- 140
- In Hospital
- No
- County
- Johnston
- Last Inspection
- Apr 23, 2026
Staffing Data
How the 3.46 total nursing hours per resident-day are staffed:
- RN Hours
- 0.57 (nat'l avg: 0.69)
- LPN Hours
- 0.86
- CNA Hours
- 2.03
- Total Nursing Hours
- 3.46 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 64.3%
- RN Turnover
- 68.2%
What the CMS Record Reveals About Smithfield Manor Rehabilitation and Healthcare Cen
According to CMS Nursing Home Compare, Smithfield Manor Rehabilitation and Healthcare Cen ranks #394 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Smithfield Manor Rehabilitation and Healthcare Cen operates 160 certified beds in Smithfield, NC with approximately 140 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 2★).
The inspection file contains 21 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $264K against this provider. Staffing is reported at 3.46 total nursing hours per resident day (national average 3.86), with RN coverage at 0.57 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Smithfield Manor Rehabilitation and Healthcare Cen falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 64.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (21 most recent)
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: May 20, 2026
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.
Category: Pharmacy Service Deficiencies
Corrected: May 20, 2026
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Category: Nursing and Physician Services Deficiencies
Corrected: May 20, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 20, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 20, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 20, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 20, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: May 20, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Category: Resident Rights Deficiencies
Corrected: May 20, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care 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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 10, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 10, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 10, 2025
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies
Corrected: Feb 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: May 9, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 9, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 20, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 10.3% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.3% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 81.5% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 21.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 27.5% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 96.7% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.7% | No |
Penalty History 3 penalties totaling $264K
| Date | Type | Amount |
|---|---|---|
| Sep 12, 2025 | Fine | $17K |
| Feb 26, 2025 | Fine | $4K |
| Apr 19, 2024 | Fine | $242K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Smithfield Manor Rehabilitation and Healthcare Cen, both outside NC so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NC (160 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NC (3.51 here).
Nearby Nursing Homes in NC
418 other nursing homes are on record in NC; 6 are shown here.
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Rose Manor LLC
Durham, NC
Adams Farm Living & Rehabilitation
Jamestown, NC
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
Understanding Nursing Home Data
What the CMS records show for Smithfield Manor Rehabilitation and Healthcare Cen
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
- Peer homes near 160 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Smithfield Manor Rehabilitation and Healthcare Cen?
Where does Smithfield Manor Rehabilitation and Healthcare Cen rank among nursing homes in NC?
What are the staffing levels at Smithfield Manor Rehabilitation and Healthcare Cen?
How many beds does Smithfield Manor Rehabilitation and Healthcare Cen have?
Does Smithfield Manor Rehabilitation and Healthcare Cen have any deficiencies on record?
Has Smithfield Manor Rehabilitation and Healthcare Cen received any fines or penalties?
Who owns Smithfield Manor Rehabilitation and Healthcare Cen?
When was Smithfield Manor Rehabilitation and Healthcare Cen last inspected?
What quality measures are tracked for Smithfield Manor Rehabilitation and Healthcare Cen?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
