Smithfield, NC
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
515 Barbour Road, Smithfield, NC
(919) 934-6017
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
165
Certified beds
Average residents
135
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Principle Long Term Care
Operator or chain grouping
Approved since
1983-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.45
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.24
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.37
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.57
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,004
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.87% · Performance 22.07% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.04% · Performance 8.35% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.43
Baseline 59.52% · Performance 49.65% · Measure score 3.43 · Achievement 3.43 · Improvement 2.35
Adjusted total nurse staffing
2.30
Baseline 4.17 hours · Performance 3.73 hours · Measure score 2.30 · Achievement 2.30 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.03% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 117 · Observed rate 12.82% · Lower 95% interval 7.72% |
| Discharge to community | 48.78% |
50.57%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 96 · Observed rate 41.67% · Lower 95% interval 38.95% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.75% |
95.27%
3.5 pts better
|
Numerator 79 · Denominator 80 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 80 |
| Discharge self-care score | 57.45% |
53.69%
3.8 pts better
|
Numerator 27 · Denominator 47 |
| Discharge mobility score | 31.91% |
50.94%
19 pts worse
|
Numerator 15 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 7.5% |
2.29%
5.2 pts worse
|
Numerator 6 · Denominator 80 · Adjusted rate 6.07% |
| Healthcare-associated infections requiring hospitalization | 8.35% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 85 · Observed rate 11.76% · Lower 95% interval 5.44% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 248 |
| Staff flu vaccination coverage | 27.6% |
42%
14.4 pts worse
|
Numerator 53 · Denominator 192 |
| Discharge function score | 46.81% |
56.45%
9.6 pts worse
|
Numerator 22 · Denominator 47 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 31 · Denominator 31 |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 20 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 2.7% |
25.2%
22.5 pts worse
|
Numerator 1 · Denominator 37 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
1.8
1.5 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.4% |
91.5%
3.1 pts worse
|
93.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 84.0% · Q3 89.3% · Q4 91.1% · 4Q avg 88.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.7% |
94.1%
0.4 pts worse
|
95.5%
1.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.6%
0.3 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.5% · Q3 2.5% · Q4 4.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
7.2%
0.3 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 9.4% · Q3 11.3% · Q4 6.3% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.9% |
21.6%
1.7 pts better
|
19.6%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 17.0% · Q3 18.9% · Q4 22.3% · 4Q avg 19.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.3% |
15.0%
6.3 pts worse
|
16.7%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.3% · Q3 27.8% · Q4 21.0% · 4Q avg 21.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.4% |
21.5%
0.9 pts worse
|
16.3%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 17.6% · Q3 23.3% · Q4 14.9% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
16.8%
3.2 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 12.6% · Q3 14.9% · Q4 16.7% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
2.6%
1.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 2.5% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 7.1% |
21.2%
14.1 pts better
|
19.8%
12.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.4% · Q3 8.5% · Q4 7.9% · 4Q avg 7.1% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.0%
0.9 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 7.3% · Q3 6.4% · Q4 4.9% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.2% |
79.9%
3.7 pts worse
|
81.7%
5.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.3% · Q2 72.5% · Q3 84.3% · Q4 91.3% · 4Q avg 76.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 29.5% |
13.2%
16.3 pts worse
|
12.0%
17.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.5% · Observed 30.5% · Expected 11.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.2% |
78.1%
2.1 pts better
|
79.7%
0.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.6% |
22.9%
4.7 pts worse
|
23.9%
3.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.6% · Observed 28.8% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-04
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-11-10
Inspection history
Health
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.
Corrected 2024-12-07
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-07
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-07
Health
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.
Corrected 2024-12-06
Health
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.
Corrected 2023-09-28
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-28
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-09-28
Health
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.
Corrected 2023-09-28
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-09-28
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-25
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-05-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-05-12
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-05-12
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-05-12
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-05-12
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-05-12
Health
Assess the resident when there is a significant change in condition
Corrected 2022-05-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-05-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-05-12
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-05-12
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-05-12
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-05-12
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-05-12
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-05-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Nearby options
Smithfield, NC
1-star overall rating with 2-star inspections with $272,752 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Clayton, NC
2-star overall rating with 2-star inspections with abuse icon flag with $25,625 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Clayton, NC
1-star overall rating with 1-star inspections with $255,500 in total fines with 25 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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