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Nursing home report

Smithfield Manor Rehabilitation and Healthcare Center

Registered name: Smithfield Manor Rehabilitation and Healthcare Cen

Smithfield, NC · Medicare-certified · 160 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Smithfield Manor Rehabilitation and Healthcare Center has a 1 out of 5 overall star rating, with 1-star health inspections, 2-star staffing and quality ratings, and nurse staffing below the federal benchmark (3.46 vs. 4.1 hours per resident per day). It also had $21,132 in fines in the last 24 months and a recent federal penalty, with recent inspection concerns about accident hazards, abuse prevention, and maintaining a safe, clean environment.

Facility ratings

Health inspections

Staffing

3.4602 hrs/resident/day

Quality measures

Last inspection: April 23, 2026Penalties, last 24 months: $21,132recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4602.

Staffing detail

Registered nurses
0.57
Licensed practical nurses
0.86
Nurse aides
2.03
Weekend nursing
3.04

Hours per resident per day.

Total staff turnover: 64%
Registered nurse turnover: 68%

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

7.7%14.6%Worsening

Residents with a fall causing major injury

5.5%3.4%Improving

Residents with pressure ulcers (bedsores)

10.5%11.5%Worsening

Residents with a urinary tract infection

10.3%0%Improving

Residents who lost too much weight

8.7%9.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

34.7%12.2%Improving

Residents whose ability to walk got worse

29.6%31.4%Worsening

Long-stay residents on antianxiety or sleep medication

23.4%20.6%Improving

Short-stay residents newly given an antipsychotic

1.4%0%Improving

Residents with a long-term catheter

1.2%0.4%Improving

Residents with new or worsening incontinence

18.5%29.1%Worsening

Residents with depressive symptoms

0%5.6%Worsening

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

100%

Long-stay residents given the pneumonia vaccine

97.3%71.6%Worsening

Short-stay residents given the seasonal flu vaccine

95.7%

Short-stay residents given the pneumonia vaccine

100%93.9%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited January 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $16,985 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. PENALTY

    A federal fine of $4,147 was recorded.

  8. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $263,607 in total fines.

  • Federal fine

    Sep 12, 2025

    $16,985
  • Federal fine

    Feb 26, 2025

    $4,147
  • Federal fine

    Apr 19, 2024

    $242,475

Operator & ownership

Recent ownership change · May 1, 2025

Now operated by Smithfield Manor Rehabilitation and Healthcare Center, previously Smithfield Manor Nursing and Rehab.

Ownership
For profit - Limited Liability company
Chain
Part of VENZA CARE MANAGEMENT · 22 homes · 2.4 stars avg
Occupancy
140.4 residents on an average day (88% of 160 beds)
Resident voice
Resident council
Medicare history
Certified for 48 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.