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.
View the original federal record
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
Data as of July 1, 2026
4 of 5 overall
Barbour Court Nursing and Rehabilitation Center has an overall rating of 4 out of 5 stars, with a 4-star health inspection rating, 3-star staffing, and 2-star quality measures. It reported 3.15 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included assessment, resident rights, and care plan issues.
Facility ratings
Health inspections
Staffing
3.1468 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 3.1468.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.88
- Nurse aides
- 1.74
- Weekend nursing
- 2.95
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 25%
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
27.7%13%Improving
Residents with a fall causing major injury
2.5%1.6%Improving
Residents with pressure ulcers (bedsores)
6.4%7.6%Worsening
Residents with a urinary tract infection
2.5%1.7%Improving
Residents who lost too much weight
11.3%12%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.9%11.3%Improving
Residents whose ability to walk got worse
23.3%2.7%Improving
Long-stay residents on antianxiety or sleep medication
18.9%13.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0.5%1.1%Worsening
Residents with new or worsening incontinence
8.5%7.7%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
89.3%95.1%Improving
Short-stay residents given the seasonal flu vaccine
—80.2%—
Short-stay residents given the pneumonia vaccine
84.3%92.5%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.
View the original federal record
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.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
The home failed to protect residents from the wrongful use of their belongings or money. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — 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 stars avg
- Occupancy
- 137.1 residents on an average day (83% 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.