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Nursing HomeMedicaid Investigative

O'berry Neuro-Medical Treatment Center

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

400 Old Smithfield Road, Goldsboro, NC 27533144 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Google rating
4.0/5

based on 9 Google reviews

5
4
3
2
1
O'berry Neuro-Medical Treatment Center Nursing Home in Goldsboro, NC — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)

Bottom 25% in NC · $167,242 in fines · Very few deficiencies · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

Because there is very little written feedback available for this facility, you should prioritize an in-person tour to evaluate the environment yourself. Pay close attention to staff-to-resident interactions and cleanliness, as the limited reviews suggest these are the primary areas of focus.

Google Reviews

Google Reviews

9 reviews on Google
O'Berry Neuro-Medical Treatment Center receives very few written reviews, making it difficult to gauge the day-to-day experience for residents. The limited feedback highlights a clean and pristine environment with superb customer service, but the lack of descriptive content prevents a comprehensive assessment of care quality.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Clean and pristine facility
  • Superb customer service

Rating Trends

Tap a year to see what changed

2345.02019(1)5.02024(2)4.02025(4)2.52026(2)

Distribution · 9 analyzed

5
6
4
1
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility maintains such a pristine and clean environment, what specific protocols do you have in place to ensure this high standard of cleanliness is consistently upheld for residents?
  • 2I noticed the facility has a 1-star CMS health inspection rating; could you walk me through the steps you are currently taking to address those specific areas of concern and improve your compliance?
  • 3With a capacity of 144 residents, how do you ensure that the superb customer service mentioned by families remains personalized and attentive for each individual?
  • 4What does a typical daily activity schedule look like for residents here, and how do you tailor these programs to keep everyone engaged?
  • 5Since this is a neuro-medical treatment center, what is your specific protocol for handling urgent medical changes or emergencies during the night shift?
  • 6How do you balance the clinical medical needs of your residents with the goal of creating a warm, home-like atmosphere for them?

Personalized based on this facility's data


Key Review Excerpts

Very clean and pristine, and the customer service was superb.

Visitor · 2025★★★★★
Source: 9 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility40.5%
Worse than Avg
Here
40.5%
US
15.5%
NC
14.1%
Wayne
15.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
14.4%
NC
16.4%
Wayne
10.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
NC
5.4%
Wayne
7.2%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NC
94.1%
Wayne
90.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
93.4%
NC
91.7%
Wayne
89.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility18.3%
Mixed vs Avgs
Here
18.3%
US
15.3%
NC
20.2%
Wayne
10.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility74.3%
Mixed vs Avgs
Here
74.3%
US
81.8%
NC
80.1%
Wayne
67.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
2penalties
Well below state avg (5.6)
18 complaint-triggered
$167,242 in fines

This facility shows a concerning pattern with multiple families filing complaints that triggered inspections, revealing serious issues including resident protection failures, inadequate family notification, and medication errors that have persisted across recent surveys. The most recurring problems involve protecting residents from abuse and neglect, proper family communication about incidents, and medication management safety. While the facility has corrected individual violations, the pattern of repeated issues in these critical care areas suggests ongoing systemic challenges that families should carefully consider.

Oct 9, 2025Complaint
1
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 7, 2025Complaint
4
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0760Immediate jeopardy · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Dec 16, 2024Routine
13
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.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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.

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.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0567Minimal · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0585Minimal · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Dec 16, 2024Complaint
4
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Apr 21, 2024Complaint
4
0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0867Potential for harm · PatternCorrected

Administration Deficiencies

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

Feb 23, 2024Complaint
2
0600Immediate jeopardy · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0867Potential for harm · PatternCorrected

Administration Deficiencies

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

Federal Penalties

Fine

Feb 23, 2024

$167,242

Payment Denial

Feb 23, 2024

50-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

O'berry Neuro-Medical Treatment Center

Organization Type

government

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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