Nursing home report card · Smithfield, NC
Barbour Court Nursing and Rehabilitation Center
515 Barbour Road, Smithfield, NC 27577
Quick summary
Above-average Medicare rating
Overall rating is 4 of 5 stars. That is a positive signal — still read the inspection notes, visit in person, and ask about staffing on nights and weekends.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Feb 26, 2026
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Above average
Based on problems found during health inspections.
Above average
Based on staffing levels and related measures.
About average for U.S. nursing homes
Based on reported health and care results.
Below-average Medicare rating
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 345237
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Could have caused harm · pattern case
Feb 26, 2026 · Inspection rule 0641
Ensure each resident receives an accurate assessment.
Could have caused harm · isolated case
Feb 26, 2026 · Inspection rule 0760
Ensure that residents are free from significant medication errors.
Could have caused harm · isolated case
Nov 15, 2024 · Inspection rule 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 32 minutes per resident per day
about 3 hr 9 min per resident per day
about 20 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 4 stars
- Health inspection rating: 4 stars
- Staffing rating: 3 stars
- Registered nurse time per resident: 0.53 hours/day
- Total nurse time per resident: 3.15 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; North Carolina averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- No automatic red flags stood out — still read the full inspection history
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Could have caused harm13 citations
- Low risk of harm1 citation
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 14
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Limited Liability company.
- We do not have individual owner names for this home.
Other homes in this group: All Principle Long Term Care nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
February 26, 20263 findings
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0641 · code E
Ensure each resident receives an accurate assessment.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0760 · code D
Ensure that residents are free from significant medication errors.
- Resident Rights problemsLow risk of harm · widespread case
Inspection type and official rule codes
Routine health inspection · CMS tag 0576 · code C
Ensure residents have reasonable access to and privacy in their use of communication methods.
November 15, 20245 findings
- Resident Rights problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code E
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.
- Resident Assessment and Care Planning problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0657 · code E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0602 · code D
Protect each resident from the wrongful use of the resident's belongings or money.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code D
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.
September 1, 20236 findings
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0578 · code D
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.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0645 · code D
PASARR screening for Mental disorders or Intellectual Disabilities
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0655 · code D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code D
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.
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0806 · code D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Administration problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0867 · code D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- No fines or penalties appear in the records we have.
Other homes in this chain
Principle Long Term Care · other locations in North Carolina
- Greendale Forest Nursing and Rehabilitation Center · Snow Hill1 of 5 · 20 problems
- University Place Nursing and Rehabilitation Center · Charlotte1 of 5 · 35 problems
- Ayden Court Nursing and Rehabilitation Center · Ayden1 of 5 · 23 problems
- River Trace Nursing and Rehabilitation Center · Washington1 of 5 · 31 problems
- Clear Creek Nursing & Rehabilitation Center · Mint Hill2 of 5 · 32 problems
- Cherry Point Bay Nursing and Rehabilitation Center · Havelock2 of 5 · 9 problems
- Northchase Nursing and Rehabilitation Center · Wilmington2 of 5 · 27 problems
- Macon Valley Nursing and Rehabilitation Center · Franklin2 of 5 · 14 problems
Related topics
Questions about Barbour Court Nursing and Rehabilitation Center
What is Barbour Court Nursing and Rehabilitation Center's Medicare star rating?
Has Barbour Court Nursing and Rehabilitation Center been fined?
Does Barbour Court Nursing and Rehabilitation Center have a Medicare abuse warning?
How does Barbour Court Nursing and Rehabilitation Center compare with other nursing homes in North Carolina?
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