Nursing HomeMedicaid Investigative

Smithfield Manor Rehabilitation and Healthcare Cen

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

902 Berkshire Road, Smithfield, NC 27577|160 beds|Licensed & Active

1/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 35 Google reviews

(919) 934-3171 Directions Website

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6/ 10

high Risk

Quality Concerns Identified

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

Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)
Above-median deficiencies (8 vs median 4.0)
High staff turnover (56%)
High RN turnover (59%)

Bottom 25% in NC · Below recommended RN staffing · $272,752 in fines

Source: Medicare data

What this means for your family

While Smithfield Manor is highly regarded for its compassionate nursing staff and effective rehabilitation, recent reports suggest a decline in operational quality following a change in ownership. We strongly recommend that families inquire about current staffing ratios and request a clear, written explanation of the billing process to avoid the administrative issues noted by other families.

Google Reviews

35 reviews on Google

“Smithfield Manor receives high praise for its compassionate nursing staff and effective rehabilitation services, with many families noting a warm and welcoming environment. However, recent reviews highlight concerns regarding staff shortages, declining food quality, and administrative issues following a change in ownership. Families should weigh the strong bedside care against these operational challenges.”

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing staff
Effective rehabilitation therapy programs
Clean and well-maintained facility
Strong team advocacy for residents

Concerns

Frequent staff shortages (mentioned by 3 reviewers)
Poor food quality (mentioned by 2 reviewers)
Poor administrative communication and billing issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 38 analyzed

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

1Given the current staffing levels, what specific protocols do you have in place to ensure consistent, timely care for residents during shift changes or potential shortages?
2I noticed some feedback regarding administrative communication; what is the best way for family members to reach the billing or management team to ensure we stay informed about our loved one's care and account status?
3How does the facility approach menu planning and resident feedback to ensure that meal quality meets the nutritional and personal preferences of those in your care?
4With the current CMS health inspection ratings, what specific quality improvement initiatives is the leadership team prioritizing right now to enhance the overall resident experience?
5I appreciate that the facility actively engages with online feedback; how do you use that resident and family input to drive day-to-day improvements at Smithfield Manor?
6What does a typical daily activity schedule look like for a resident here, and how do you encourage participation for those who might be hesitant to join in?

Personalized based on this facility's data

Key Review Excerpts

“My Mother was there for approx. 7 weeks at the beginning of this year. I will say there are some wonderful staff members there who truly care about their patients. Then there are those that are there for a paycheck and could really care less.”

Long-term resident's family · 2025★☆☆☆☆

“But with the new owners everything has changed and gone down hill. Staff is still caring and professional but food quality is poor, staff shortages are too frequent, and management response to inquiries is not good.”

Friend of resident · 2025★★★☆☆

“The staff is excellent and she said the food is great for the most part. I would like to see more help on the floor. These employees are awesome and sometimes they need help due to short staffed.”

Long-term resident's family · 2023★☆☆☆☆

Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.50hrs

67%

Registered nurses for medical care

Total Nursing

3.46hrs

84%

All nurses + aides combined

Staff Turnover

57%

Lower is better (< 30% = good)

RN Turnover

55%

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

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

Medicare Rating

1/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility29.2%

Worse than Avg

Here

29.2%

15.3%

20.2%

Johnston

25.1%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility27.7%

Worse than Avg

Here

27.7%

14.4%

16.4%

Johnston

17.2%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.8%

Better than Avg

Here

1.8%

12.1%

5.4%

Johnston

13.4%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility26.9%

Worse than Avg

Here

26.9%

19.4%

21.0%

Johnston

17.3%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

94.1%

Johnston

95.6%

🦠

Residents who got a urinary tract infection

↓ Lower is better

This Facility7.1%

Worse than Avg

Here

7.1%

1.6%

2.5%

Johnston

2.4%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility98.3%

Better than Avg

Here

98.3%

81.8%

80.1%

Johnston

81.3%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility95.7%

Better than Avg

Here

95.7%

79.8%

78.1%

Johnston

85.9%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility1.0%

Mixed vs Avgs

Here

1.0%

1.6%

1.5%

Johnston

0.7%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies

3penalties

Well above state avg (5.6)

9 complaint-triggered

$272,752 in fines

Families have filed complaints leading to serious deficiencies including resident abuse and repeated accident hazards that persist across multiple surveys from 2024-2025. The facility shows recurring problems with accident prevention, care planning, and building safety systems including fire protection and electrical issues. While the facility corrects violations when cited, the pattern of complaint-triggered safety issues and repeat accident hazard violations suggests ongoing supervision and safety concerns that warrant careful consideration.

Apr 23, 2026Complaint5 findings

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Nov 4, 2025Complaint1 finding

0689Actual 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.

Sep 12, 2025Complaint1 finding

0689Immediate jeopardy · 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.

Jan 24, 2025Routine9 findings

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.

0641Potential for harm · PatternCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

0111Potential for harm · IsolatedCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Apr 19, 2024Complaint2 findings

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.

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 28, 2023Routine7 findings

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

Federal Penalties

Fine

Sep 12, 2025

$16,985

Fine

Feb 26, 2025

$4,147

Fine

Apr 19, 2024

$242,475

Ownership & Operations

Who Operates This Facility

Owner / Operator

Smithfield Manor Rehabilitation and Healthcare Cen

Organization Type

for profit

Chain Affiliation

Chain Name

Venza Care Management

Chain Size

22 facilities nationwide

Ownership & Management

Owners

Smithfield Snf Realty Holdings LLC

Owner · Organization

100%

Smithfield Snf Realty Parent LLC