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Barbour Court Nursing and Rehabilitation Center

All states › North Carolina › Smithfield › Barbour Court Nursing and Rehabilitation Center

515 Barbour Road Smithfield, NC 27577 · Johnston County

(919) 934-6017

All 2 nursing homes in Smithfield, NC (2 take Medicaid)

Accepts Medicare Accepts Medicaid 165 certified beds For profit

CMS certification number 345237 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Barbour Court Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Barbour Court Nursing and Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0. Inspectors issued 14 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.18 hours per resident per day at Barbour Court Nursing and Rehabilitation Center, below the North Carolina median of 3.57 (US median: 3.72). About 0.44 of those hours are from registered nurses. On weekends it falls to 2.96 hours, 7% below its all-week average. 32.4% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team. 3 administrators left in the past year.

Nursing care per resident per day 3.18 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.44 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.96 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 32.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% a year Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds165
Residents per day 137 About 83% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1983
Part of a chainPrinciple Long Term Care
Legal business nameBIRCH LTC GROUP, LLC

Paying for care at Barbour Court Nursing and Rehabilitation Center: Medicare and Medicaid

Barbour Court Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 26, 2026 and found 3 deficiencies. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 14 citations at Barbour Court Nursing and Rehabilitation Center across 3 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 13 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (4) and pharmacy service (3). The most serious was cited under the CMS rule to "ensure each resident receives an accurate assessment" (tag F0641, level E, February 26, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

February 26, 2026 · 3 citations

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Mar 19, 2026)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Deficient, Provider has date of correction (Mar 19, 2026)

CEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0576 · No revisit needed (Mar 19, 2026)

November 15, 2024 · 5 citations · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Dec 7, 2024)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Dec 7, 2024)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Jul 6, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Dec 7, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 6, 2024)

September 1, 2023 · 6 citations

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Sep 28, 2023)

DPASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0645 · Deficient, Provider has date of correction (Sep 28, 2023)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Sep 28, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Sep 28, 2023)

DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0806 · Deficient, Provider has date of correction (Sep 28, 2023)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Sep 28, 2023)

Questions to ask on a tour of Barbour Court Nursing and Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on November 15, 2024. How are staff trained, and how are concerns reported?
  2. Several administrators left in the past year. What has changed for residents since then?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 3/5
August 2026 4/5 4/5 3/5 2/5
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Location

Hospitals near Barbour Court Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Smithfield Manor Rehabilitation and Healthcare Center Smithfield · 2.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 160 beds · Medicaid
Springbrook Nursing and Rehabilitation Center Clayton · 8.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 100 beds · Medicaid
Clayton Rehabilitation and Healthcare Center Clayton · 9.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 90 beds · Medicaid
Liberty Commons Nursing & Rehabilitation Center Benson · 14.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 100 beds · Medicaid
Bellarose Nursing and Rehab Garner · 16.3 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near Barbour Court Nursing and Rehabilitation Center ›   All nursing homes in Smithfield ›

Compare Barbour Court Nursing and Rehabilitation Center with the 3 closest homes side by side ›

Other Principle Long Term Care nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/smithfield/barbour-court-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.