Smithfield Manor Rehabilitation and Healthcare Cen
902 Berkshire Road, Smithfield, NC 27577 · (919) 934-3171
For profit - Limited Liability company · 160 certified beds
Smithfield Manor Rehabilitation and Healthcare Cen has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 10 citations (the North Carolina average is 4.7). It was fined 3 times in the last three years, $263,607 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 23, 2026 found 10 citations. What an inspection citation means
- 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.April 23, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 23, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.April 23, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.April 23, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.April 23, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 23, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 23, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 23, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 23, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.April 23, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 29, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 29, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 23, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.April 23, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 23, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 23, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 23, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 4, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 12, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 19, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 19, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Fines and payment denials
- Fine of $16,985September 12, 2025
- Fine of $4,147February 26, 2025
- Fine of $242,475April 19, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.46 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.57 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.86 | 0.89 | 0.86 |
| Nurse aides | 2.03 | 2.34 | 2.32 |
| Total nursing staff turnover | 64.3% | 49% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 160 |
| Average residents per day | 140.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Barbour Court Nursing and Rehabilitation Center Smithfield · ★★★★★ 4 out of 5 stars
- Liberty Commons Nursing & Rehabilitation Center of Benson · ★★★★★ 2 out of 5 stars
- Springbrook Nursing and Rehabilitation Center Clayton · ★★★★★ 3 out of 5 stars
- Clayton Rehabilitation and Healthcare Center Clayton · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Smithfield Manor Rehabilitation and Healthcare Cen on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.