Nursing home report
Smithfield, NC · Medicare-certified · 160 beds
Smithfield Manor Rehabilitation and Healthcare Center has a 1-star overall rating, with 2-star health inspection and staffing scores and 1-star quality measures. It reported 3.46 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $21,132 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.459 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.459.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited January 2025 — limited pattern, potential for harm.
F-Tag 578 — 42 CFR §483.10 — 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.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2025 — isolated incident, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $16,985 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $4,147 was recorded.
Health inspection found 6 health deficiencies.
On record with Medicare: 3 fines · $263,607 in total fines.
Federal fine
Sep 12, 2025
Federal fine
Feb 26, 2025
Federal fine
Apr 19, 2024
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.
