All states › North Carolina › Smithfield › Barbour Court Nursing and Rehabilitation Center
515 Barbour Road Smithfield, NC 27577 · Johnston County
All 2 nursing homes in Smithfield, NC (2 take Medicaid)
CMS certification number 345237 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
DEnsure that residents are free from significant medication errors.
CEnsure residents have reasonable access to and privacy in their use of communication methods.
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.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProtect each resident from the wrongful use of the resident's belongings or money.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
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.
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.
DPASARR screening for Mental disorders or Intellectual Disabilities
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Questions to ask on a tour of Barbour Court Nursing and Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on November 15, 2024. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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 month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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2.3 mi
Johnston Memorial Hospital SmithfieldEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 7m for patients treated and sent home
- 14.8 mi
- 21.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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
- Jacob's Creek Nursing and Rehabilitation Center · Madison · 5 stars
- Carolina Rivers Nursing and Rehabilitation Center · Jacksonville · 5 stars
- Maple Grove Health and Rehabilitation Center · Greensboro · 5 stars
- Grantsbrook Nursing and Rehabilitation Center · Grantsboro · 5 stars
- Kerr Lake Nursing and Rehabilitation Center · Henderson · 4 stars
- Lake Park Nursing and Rehabilitation Center · Indian Trail · 4 stars
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.