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Nursing home

Smithfield Manor Rehabilitation and Healthcare Center

902 Berkshire Road, Smithfield, NC 27577 · Map
For profit - Corporation · 160 certified beds

Medicare and Medicaid certified
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Smithfield Manor Rehabilitation and Healthcare Center is a Medicare-certified nursing home in Smithfield, North Carolina. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.54 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jan 24, 2025 cited 8 deficiencies.

1 out of 5Overall CMS rating
2 out of 5Health inspections
2 out of 5Staffing
160 bedsCertified beds
  • 3 fines totaling $272,752In CMS records: 3 total penalties.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections2/5
Staffing2/5
Quality measures1/5
Long-stay quality1/5
Short-stay quality2/5

How Smithfield Manor Rehabilitation and Healthcare Center compares

This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityNorth Carolina avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.543.783.89below avg
RN staffing (hrs/resident/day)0.510.590.68below avg
Aide staffing (hrs/resident/day)2.272.332.34below avg
Nursing staff turnover56.5%50.4%46.4%above avg
Deficiencies cited, last inspection8.05.69.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.54Total nurse hrs/resident/day
0.51RN hrs/resident/day
0.76LPN hrs/resident/day
2.27Aide hrs/resident/day
3.02Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff56.5%
Registered nurses59.1%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jan 24, 2025Most recent inspection
8Deficiencies found
72Health inspection score
3Fines

Penalties in CMS records: 3 fines totaling $272,752, 3 total penalties.

What inspectors found at Smithfield Manor Rehabilitation and Healthcare Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Actual harm

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

    Quality of Life and Care Deficiencies · Nov 4, 2025 · Full report (PDF)
  • Immediate jeopardy

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

    Quality of Life and Care Deficiencies · Sep 12, 2025 · Full report (PDF)
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Jan 24, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Jan 24, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Jan 24, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Jan 24, 2025 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Jan 24, 2025 · Full report (PDF)
  • Potential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies · Jan 24, 2025 · Full report (PDF)
  • Immediate jeopardy

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

    Quality of Life and Care Deficiencies · Apr 19, 2024 · Full report (PDF)
  • Immediate jeopardy

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Apr 19, 2024 · Full report (PDF)
  • Potential for harm

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

    Quality of Life and Care Deficiencies · Sep 28, 2023
  • Potential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies · Mar 31, 2022

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
902 Berkshire Road
Smithfield, NC 27577
CMS certification #
345175
Ownership
For profit - Corporation
Certified beds
160
Avg residents/day
127.5
Provider type
Medicare and Medicaid
First certified
1977-12-01
Setting
Urban

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Location and nearby

Explore the area around Smithfield Manor Rehabilitation and Healthcare Center using Google Maps.

Other public records

  • Workplace safety 3 OSHA workplace safety inspections since 2016, 15 violations cited
Full public records, with dates and sources

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

OSHA workplace safety inspections

OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.

  • Oct 11, 2022: programmed (planned) inspection, complete (health). Case closed Mar 21, 2023. 9 violations cited (6 serious, 3 other). Penalties: $11,000 proposed, $11,000 now. OSHA record. OSHA recorded the employer as 152953 - Smithfield Manor, INC.
    Details
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(2)). Penalty $1,500 proposed, $1,500 now. To be fixed by Feb 27, 2023.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Feb 27, 2023.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)(ii)). Penalty $0 proposed, $0 now. To be fixed by Feb 27, 2023.
    • Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)(iii)). Penalty $0 proposed, $0 now. To be fixed by Feb 27, 2023.
    • Serious: Abrasive wheel machinery (1910.215(b)(9)). Penalty $1,500 proposed, $1,500 now. To be fixed by Feb 27, 2023.
    • Serious: Electrical equipment and installation (1910.303(b)(7)(i)). Penalty $5,000 proposed, $5,000 now. To be fixed by Feb 27, 2023.
    • Other than serious: Electrical wiring methods and equipment (1910.305(g)(1)(iv)(a)). Penalty $1,500 proposed, $1,500 now. To be fixed by Feb 27, 2023.
    • Other than serious: Use of electrical equipment (1910.334(a)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Feb 27, 2023.
    • Other than serious: Use of electrical equipment (1910.334(a)(2)(ii)). Penalty $1,500 proposed, $1,500 now. To be fixed by Feb 27, 2023.
  • Aug 16, 2022: fatality or catastrophe inspection, no inspection (health). Case closed Sep 20, 2022. No violations cited. OSHA record. OSHA recorded the employer as 152553 - Smithfield Manor, INC.
  • Nov 9, 2016: programmed (planned) inspection, complete (health). Case closed Jun 23, 2017. 6 violations cited (3 serious, 3 other). Penalties: $900 proposed, $900 now. OSHA record. OSHA recorded the employer as 132820 - Smithfield Manor, INC.
    Details
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iv)). Penalty $900 proposed, $900 now. To be fixed by Feb 2, 2017.
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(v)). Penalty $0 proposed, $0 now. To be fixed by Jan 3, 2017.
    • Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(2)(i)(c)). Penalty $0 proposed, $0 now. To be fixed by Jan 3, 2017.
    • Other than serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $0 proposed, $0 now. To be fixed by Jan 11, 2017.
    • Other than serious: Electrical wiring methods and equipment (1910.305(g)(1)(iv)(a)). Penalty $0 proposed, $0 now. To be fixed by Jan 3, 2017.
    • Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)(i)). Penalty $0 proposed, $0 now. To be fixed by Jan 3, 2017.

Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.

Location and nearby care

Nearest hospital with an emergency room
Johnston Health, Smithfield. 2.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars. Location approximate.
Nearest Medicare nursing home
Barbour Court Nursing and Rehabilitation Center, Smithfield. 2.4 miles away, straight line.
Nearest home health agency office
Unc Health Johnston Home Care And Hospice, Smithfield. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 27577 as metropolitan (metropolitan high commuting).
Dialysis within 15 miles
Fmc Johnston Dialysis Center Inc, Smithfield, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Fresenius Kidney Care East Johnston, Selma, 2.2 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Four Oaks, Four Oaks, 7.0 miles away, straight line (CMS rating 3 of 5 stars)
Hospice
12 Medicare hospices tell CMS they serve ZIP code 27577.
Johnston Health Home Care And Hospice, office in Smithfield, 0.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
3Hc, office in Goldsboro, 22.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Nearest geriatric medicine practice
Wakemed Specialists Group LLC, Raleigh. 23.6 miles away, straight line. 2 geriatric medicine doctors listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026See above
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteCould not read the site

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Frequently asked questions

Is Smithfield Manor Rehabilitation and Healthcare Center a good nursing home?

CMS gives Smithfield Manor Rehabilitation and Healthcare Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Smithfield Manor Rehabilitation and Healthcare Center staffed?

Smithfield Manor Rehabilitation and Healthcare Center reports 3.54 total nurse hours per resident per day, compared with the North Carolina average of 3.78.

Has Smithfield Manor Rehabilitation and Healthcare Center had inspection problems?

Its most recent CMS inspection cited 8 deficiencies.

How many beds does Smithfield Manor Rehabilitation and Healthcare Center have?

Smithfield Manor Rehabilitation and Healthcare Center is certified for 160 beds.