Smithfield, NC

Barbour Court Nursing and Rehabilitation Center

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

Compare this facility

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

Facility snapshot

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

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing

LPN hours / resident day

0.92

Licensed practical nurse staffing

Aide hours / resident day

1.86

Nurse aide staffing

Weekend hours

2.97

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

44%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-15 · Fire 2024-11-15

5 health deficiencies

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)

Cycle 2 Health 2023-09-01 · Fire 2023-09-01

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-04-08 · Fire 2022-04-08

15 health deficiencies

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 citations

D · Potential for more than minimal harm 2024-11-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-04

D · Potential for more than minimal harm 2023-09-01

K321 · Smoke Deficiencies

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

D · Potential for more than minimal harm 2023-09-01

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-09-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-15

F578 · Resident Rights Deficiencies

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

E · Potential for more than minimal harm 2024-11-15

F657 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2024-11-15

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-06

D · Potential for more than minimal harm 2024-11-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-15

F761 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2023-09-01

F578 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2023-09-01

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-09-01

F655 · Resident Assessment and Care Planning Deficiencies

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

D · Potential for more than minimal harm 2023-09-01

F761 · Pharmacy Service Deficiencies

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

D · Potential for more than minimal harm 2023-09-01

F806 · Nutrition and Dietary Deficiencies

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

D · Potential for more than minimal harm 2023-09-01

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-09-28

J · Immediate jeopardy 2022-04-08

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-03-25

E · Potential for more than minimal harm 2022-04-08

F657 · Resident Assessment and Care Planning Deficiencies

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

E · Potential for more than minimal harm 2022-04-08

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-05-12

E · Potential for more than minimal harm 2022-04-08

F688 · Quality of Life and Care Deficiencies

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

E · Potential for more than minimal harm 2022-04-08

F725 · Nursing and Physician Services Deficiencies

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

D · Potential for more than minimal harm 2022-04-08

F561 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2022-04-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2022-04-08

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-05-12

D · Potential for more than minimal harm 2022-04-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-05-12

D · Potential for more than minimal harm 2022-04-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-05-12

D · Potential for more than minimal harm 2022-04-08

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-05-12

D · Potential for more than minimal harm 2022-04-08

F806 · Nutrition and Dietary Deficiencies

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

D · Potential for more than minimal harm 2022-04-08

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2022-05-12

D · Potential for more than minimal harm 2022-04-08

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-05-12

B · Minimal harm 2022-04-08

F584 · Resident Rights Deficiencies

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

What sits behind the stars

Ownership

Principle It Services, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 43 facilities 2011-01-01
Principle Long Term Care, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 44 facilities 2011-01-01
Boice, Gale

Corporate Officer · Individual

0% 44 facilities 2018-03-05
Cunningham, James

Operational/Managerial Control · Individual

0% 2 facilities 2014-10-31
Cunningham, James

Corporate Director · Individual

0% 2 facilities 2014-10-31
Hill, Raymond

5% Or Greater Direct Ownership Interest · Individual

0% 43 facilities 2011-01-01
Hill, Robert

5% Or Greater Direct Ownership Interest · Individual

0% 43 facilities 2011-01-01
Hill, Stephen

5% Or Greater Direct Ownership Interest · Individual

0% 43 facilities 2011-01-01
Johnson, Dianne

Operational/Managerial Control · Individual

0% 43 facilities 2011-01-01
Johnson, Dianne

Corporate Director · Individual

0% 43 facilities 2011-01-01
Johnson, Dianne

Corporate Officer · Individual

0% 43 facilities 2011-01-01
Principle It Services, Inc.

Operational/Managerial Control · Organization

0% 43 facilities 2011-01-01
Principle Long Term Care, Inc.

Operational/Managerial Control · Organization

0% 44 facilities 2011-01-01

Nearby options

Other facilities in reach

#1

Smithfield Manor Rehabilitation and Healthcare Cen

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

Overall
1 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$272,752
#2

Springbrook Nursing and Rehabilitation Center

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

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$25,625
#3

Clayton Rehabilitation and Healthcare Center

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

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$255,500

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