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Smithfield Manor, Inc.

Nursing Home Facility

902 Berkshire Road, Smithfield, NC 27577

Nursing Home Care Senior Living
Smithfield Manor, Inc.

Smithfield Manor, Inc. is a senior care community located in Smithfield, NC. It provides nursing home care and senior living for older adults in the Smithfield area. To learn more or schedule a tour, call (919)934-3171.

With 160 beds, Smithfield Manor, Inc. is one of the larger communities in the area, senior care communities in Smithfield average about 64 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 88% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Smithfield average about 2.5 stars. Its most recent standard health inspection was in April 2026 and recorded 12 deficiencies.

Residents receive about 3.5 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 64%, which is high and can affect continuity of care.

The community is located in Johnston County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 21 problems at Smithfield Manor, Inc.. 4 findings involved harm to a resident, including 3 that put residents in immediate danger. 9 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $263,607.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

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

    Inspected September 2025, after a complaint.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

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

    Inspected November 2025, after a complaint.

  • Could cause more than minimal harm, a pattern Resident Rights

    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.

    Inspected April 2026, after a complaint. Corrected by May 20, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Inspected April 2026, after a complaint. Corrected by May 20, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected April 2026, after a complaint. Corrected by May 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected April 2026. Corrected by May 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected April 2026. Corrected by May 20, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026, after a complaint. Corrected by May 20, 2026.

Show 4 more
  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2026. Corrected by May 20, 2026.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected April 2026. Corrected by May 20, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected April 2026, after a complaint. Corrected by May 20, 2026.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected April 2026. Corrected by May 20, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Smithfield Manor, Inc. offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 160
  • Occupancy 88%
  • Nursing hours per resident/day 3.5
  • Annual staff turnover 64%
  • Last health inspection April 2026

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