Federal inspection record · CMS data as of October 1, 2026
Smithfield Manor Rehabilitation and Healthcare Cen
902 Berkshire Road, Smithfield, NC · (919) 934-3171
- Certified beds
- 160
- Residents per day
- 139
- Ownership
- For-Profit
- Chain
- Venza Care Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1977
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Smithfield Manor Rehabilitation and Healthcare Cen carries 104.5 inspection points. That is fewer than 12% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care5D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
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.
Resident Rights2E
- E
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.
- E
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.
Nursing and Physician Services2D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- C
Post nurse staffing information every day.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2026-04-23
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-24
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-09-28
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 29 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 58% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$263,607 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-12 | Fine | $16,985 |
| 2025-02-26 | Fine | $4,147 |
| 2024-04-19 | Fine | $242,475 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 2.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine16 pts worse | 76.4% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.5 pts better | 99.2% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms9.6 pts worse | 16.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 9.3% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.4 pts better | 20.7% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 12.2% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.1 pts worse | 23.7% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts worse | 16.6% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.4% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.1% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11 pts worse | 30.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.7 pts worse | 11.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.5 pts better | 95.0% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts worse | 16.6% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 86.4% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts worse | 22.9% | 22.2% | 23.4% |
·
Who owns and runs it
43 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bankwell Bank | 5% Or Greater Security Interest · Organization | 0% | 12 facilities |
| Bankwell Bank | Adp Of The SNF · Organization | 0% | 12 facilities |
| Ch Smithfield Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Chubb, Lisa | Adp Of The SNF · Individual | 0% | 8 facilities |
| Cw Smithfield Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Goodman, Menucha | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Goodman, Menucha | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Hall- Thickman, Karen | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Hall- Thickman, Karen | Adp Of The SNF · Individual | 0% | 3 facilities |
| Herzka, Yisroel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 75 facilities |
| M Melb Opco LLC | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| M Melb Opco Trust | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| M Melb Propco LLC | Adp Of The SNF · Organization | 0% | 9 facilities |
| Ms Smithfield Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Ms Smithfield Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| S Melb Opco LLC | Indirect Ownership Interest · Organization | 0% | 10 facilities |
| S Melb Opco Trust | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| S Melb Propco Trust | Adp Of The SNF · Organization | 0% | 9 facilities |
| Se SNF Associates LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Se SNF Associates Trust | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Se SNF Holdings LLC | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Se SNF Holdings Trust | Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Sheth, Anoop | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Sheth, Anoop | Adp Of The SNF · Individual | 0% | 3 facilities |
| Smithfield SNF Operations Holdings LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Smithfield SNF Realty Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Smithfield SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Smithfield SNF Realty Parent LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Spruill, Christal | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Spruill, Christal | Adp Of The SNF · Individual | 0% | 3 facilities |
| Ss Smithfield Holdings LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Ss Smithfield Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Strauss, Susan | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 26 facilities |
| Stroud, Wendy | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Stroud, Wendy | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stroud, Wendy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Venza Care Admin Services LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Venza Care Admin Services LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Venza Care Clinical Consulting LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Vertex Financial Services LLC | Operational/Managerial Control · Organization | 0% | 18 facilities |
| Vertex Financial Services LLC | Adp Of The SNF · Organization | 0% | 18 facilities |
| Welltower Op LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 158 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services3F
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
·
Other homes nearby
-
Barbour Court Nursing and Rehabilitation Center
Smithfield, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 11 min
- Fines
- $0
-
Springbrook Nursing and Rehabilitation Center
Clayton, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 51 min
- Fines
- $25,625
-
Clayton Rehabilitation and Healthcare Center
Clayton, NC · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $166,075