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Nursing HomeMedicaid

Barbour Court Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive memory care staff. Still worth an in-person visit.

515 Barbour Road, Smithfield, NC 27577165 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 54 Google reviews

5
4
3
2
1
Barbour Court Nursing and Rehabilitation Center Nursing Home in Smithfield, NC — Street View
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What this means for your family

While the facility has shown marked improvement in its memory care unit and overall management, families should remain vigilant. We recommend conducting unannounced visits to observe call-bell response times and checking the specific hall where your loved one will reside, as care quality appears to vary significantly between different wings of the building.

Google Reviews

Google Reviews

54 reviews on Google
Barbour Court Nursing and Rehabilitation Center receives highly polarized feedback, with many families noting significant improvements under recent management while others report ongoing, serious concerns regarding patient neglect and staffing shortages. While many praise the memory care unit and specific staff members for their compassion, recurring reports of slow call-bell response times, hygiene issues, and unprofessional conduct remain a critical concern for prospective families.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean7.0Activities6.0Meds3.0Memory9.0Comms6.0Value3.0

Strengths

  • Compassionate and attentive memory care staff
  • Clean and well-maintained facility environment
  • Effective recent leadership and management changes
  • Friendly and approachable administrative team

Concerns

  • Slow or non-existent response to call bells (mentioned by 6 reviewers)
  • Inadequate hygiene and toileting assistance (mentioned by 5 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 4 reviewers)
  • Understaffing leading to unmet patient needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(7)'21(4)'23(12)'25(10)'26(8)

Distribution · 56 analyzed

5
30
4
2
3
1
2
1
1
22

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I noticed there have been some recent leadership changes; how have these updates impacted the daily culture and staff morale here?
  • 2With a capacity of 165 residents, what specific protocols do you have in place to ensure that call bells are answered promptly and resident needs are met in a timely manner?
  • 3Could you walk me through your current process for medication management and how you ensure accuracy and consistency for each resident?
  • 4Given the importance of hygiene and personal care, what training or oversight do you provide to staff to ensure these daily needs are handled with dignity and efficiency?
  • 5What does a typical day look like for residents in terms of social engagement and activities, and how do you encourage participation?
  • 6In the event of a medical emergency, what is your protocol for coordinating care and communicating with family members immediately?

Personalized based on this facility's data


Key Review Excerpts

My loved one is in the Spark Unit (Memory Care), and I can’t say enough wonderful things about the care he receives. Natasha, who leads the unit, and her team treat my father like family.

Memory care family member · 2025★★★★★

Since she has been relocated to the 100 hall, I feel it necessary to update my review. I cannot praise the staff on this floor enough. The nurses and CNA's are wonderful- They have been taking excellent care of my mom since she arrived there.

Long-term resident's family · 2024★★★★★

My father can be very difficult and the staff is excellent and professional. He is always clean and well cared for when I visit once or twice a week.

Long-term resident's family · 2025★★★★★
Source: 54 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
19.4%
NC
21.0%
Johnston
21.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%
Johnston
13.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility20.1%
Worse than Avg
Here
20.1%
US
15.5%
NC
14.1%
Johnston
10.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.2%
Mixed vs Avgs
Here
19.2%
US
15.3%
NC
20.2%
Johnston
27.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.8%
Mixed vs Avgs
Here
14.8%
US
14.4%
NC
16.4%
Johnston
19.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility89.9%
Worse than Avg
Here
89.9%
US
93.4%
NC
91.7%
Johnston
93.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility80.2%
Mixed vs Avgs
Here
80.2%
US
79.8%
NC
78.1%
Johnston
89.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.7%
Better than Avg
Here
85.7%
US
81.8%
NC
80.1%
Johnston
83.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Johnston
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
Near state avg (5.6)
4 complaint-triggered

Barbour Court has had persistent issues across multiple care areas, with families filing complaints about daily care assistance, meal accommodations, and care planning. The facility shows recurring problems with resident rights, care planning, and medication management across all three surveys from 2022 to 2024. While most deficiencies have correction plans, the pattern of repeated violations in core care areas suggests ongoing operational challenges that families should investigate thoroughly during visits.

Feb 26, 2026Routine
3
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0576Minimal · Widespread

Resident Rights Deficiencies

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

Nov 15, 2024Routine
4
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service 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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Nov 15, 2024Complaint
2
0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 1, 2023Routine
7
0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0761Potential for harm · IsolatedCorrected

Pharmacy Service 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.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 1, 2023Complaint
2
0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Barbour Court Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Principle Long Term Care

Chain Size

44 facilities nationwide

Chain avg rating: 3.1/5 · Rank 26 of 44

Ownership & Management

Owners

Principle Long Term Care, INC.

Owner · Organization

Key personnel

Cunningham, JamesOfficer / DirectorJohnson, DianneOfficer / DirectorBoice, GaleOfficer / DirectorJohnson, DianneOfficer / DirectorPrinciple it Services, INC.Manager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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