The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Nursing home report
Barbour Court Nursing and Rehabilitation Center
Smithfield, NC · Medicare-certified · 165 beds
In good standing
For-profitChain member
4 of 5 overall
Barbour Court Nursing and Rehabilitation Center has an overall rating of 4 out of 5 stars, with 4 stars for health inspections, 3 stars for staffing, and 2 stars for quality measures. It reported 3.31 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines in the last 24 months, and recent inspection citations included assessment, resident rights, and care plan issues.
Facility ratings
Health inspections
Staffing
3.3068 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3068.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.92
- Nurse aides
- 1.90
- Weekend nursing
- 3.00
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 44%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.4%14%Improving
Residents with a fall causing major injury
2.5%3.3%Worsening
Residents with pressure ulcers (bedsores)
7.3%5.6%Improving
Residents with a urinary tract infection
0.8%0.8%No change
Residents who lost too much weight
9.4%5.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.6%14.9%Worsening
Residents whose ability to walk got worse
17.6%20.7%Worsening
Long-stay residents on antianxiety or sleep medication
17%16.7%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0.5%No change
Residents with new or worsening incontinence
6.4%5.8%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.7%—
Long-stay residents given the pneumonia vaccine
84%95.1%Improving
Short-stay residents given the seasonal flu vaccine
—80.2%—
Short-stay residents given the pneumonia vaccine
72.5%95.5%Improving
What the inspectors found
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited November 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited November 2024 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3.1 stars avg
- Occupancy
- 133.7 residents on an average day (81% of 165 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 42 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.