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Smithfield Manor Rehabilitation and Healthcare CenCMS ratings, inspections and fines

Address
902 Berkshire Road, Smithfield, NC 27577
CCN
345175
Ownership type
For-profit, limited liability company
Certified beds
160
Residents per day
140
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measure rating2 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Smithfield Manor Rehabilitation and Healthcare Cen an overall rating of 1 of 5 stars. The last standard survey was on 23 Apr 2026. The latest survey cycle has 12 health citations. The median for nursing homes in North Carolina is 3. CMS lists 3 fines with a total of $263,607 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Smithfield Manor Rehabilitation and Healthcare Cen, with medians
Rating (1 to 5 stars)This homeJohnston County medianNorth Carolina medianUS average (CMS)
Overall rating12.03.03.0
Health inspection rating12.03.02.8
Staffing rating22.03.02.9
Quality measure rating22.03.03.6

A median is the middle value of the homes in the group: 5 homes in the county, 419 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Smithfield Manor Rehabilitation and Healthcare Cen in the last three survey cycles
Survey cycleStandard surveyCitationsNorth Carolina median
Cycle 1 (latest)23 Apr 2026123
Cycle 224 Jan 202565
Cycle 3No date36

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 21 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 12 citations

Standard survey of this cycle: .

Health citations of Smithfield Manor Rehabilitation and Healthcare Cen in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
23 Apr 2026F0584Honor 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.EComplaint investigation20 May 2026
23 Apr 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation20 May 2026
23 Apr 2026F0641Ensure each resident receives an accurate assessment.DStandard survey20 May 2026
23 Apr 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey20 May 2026
23 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 May 2026
23 Apr 2026F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey20 May 2026
23 Apr 2026F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey20 May 2026
23 Apr 2026F0732Post nurse staffing information every day.CStandard survey20 May 2026
23 Apr 2026F0761Ensure 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.DComplaint investigation20 May 2026
23 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation20 May 2026
4 Nov 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigationPast Non-Compliance
12 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigationPast Non-Compliance

Survey cycle 2: 6 citations

Standard survey of this cycle: .

Health citations of Smithfield Manor Rehabilitation and Healthcare Cen in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
24 Jan 2025F0578Honor 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.EStandard survey10 Feb 2025
24 Jan 2025F0641Ensure each resident receives an accurate assessment.EStandard survey10 Feb 2025
24 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Feb 2025
24 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Feb 2025
24 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Feb 2025
24 Jan 2025F0761Ensure 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.DStandard survey10 Feb 2025

Survey cycle 3: 3 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Smithfield Manor Rehabilitation and Healthcare Cen in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
19 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation9 May 2024
19 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation9 May 2024
28 Sep 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey20 Oct 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Smithfield Manor Rehabilitation and Healthcare Cen in the CMS penalties file
DateTypeFineDays without payment
12 Sep 2025Fine$16,985
26 Feb 2025Fine$4,147
19 Apr 2024Fine$242,475

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Smithfield Manor Rehabilitation and Healthcare Cen
StaffThis homeNorth Carolina medianNorth Carolina average (CMS)
All nurse staff3.463.503.83
Registered nurses (RN)0.570.500.61
Licensed practical nurses (LPN)0.860.89
Nurse aides2.032.34
All nurse staff, weekends3.043.103.40
Nurse staff turnover in a year
64.3%
Nurse staff turnover, North Carolina median
48.6%
RN turnover in a year
68.2%
Administrators who left in a year
2

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Smithfield Manor Rehabilitation and Healthcare Cen, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay21.5%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.7%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.1%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.6%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay28.0%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.5%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.1%13.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Smithfield SNF Operations LLC
Chain
Venza Care Management (25 homes in the CMS chain file)
Organisations in the CMS ownership record of Smithfield Manor Rehabilitation and Healthcare Cen
OrganisationRole in the CMS recordInterestSince
Smithfield SNF Operations Holdings LLCDirect ownership interest1 May 2025
CH Smithfield Holdings LLCIndirect ownership interest25 Mar 2026
CW Smithfield Holdings LLCIndirect ownership interest25 Mar 2026
M Melb Opco LLCIndirect ownership interest1 May 2025
S Melb Opco LLCIndirect ownership interest1 May 2025
Se SNF Associates LLCIndirect ownership interest25 Mar 2026
Se SNF Holdings LLCIndirect ownership interest25 Mar 2026
SS Smithfield Holdings LLCIndirect ownership interest1 May 2025
Welltower Op, LLC5% or greater mortgage interest25 Mar 2026
Bankwell Bank5% or greater security interest1 May 2025
Venza Care Admin Services LLCOperational/managerial control31 Aug 2025
Venza Care Clinical Consulting LLCOperational/managerial control1 May 2025
Vertex Financial Services LLCOperational/managerial control1 May 2025
Bankwell BankAdp of the snf5 Feb 2026
M Melb Propco LLCAdp of the snf1 May 2025
Smithfield SNF Realty Holdings LLCAdp of the snf1 May 2025
Smithfield SNF Realty LLCAdp of the snf1 May 2025
Smithfield SNF Realty Parent LLCAdp of the snf1 May 2025
SS Smithfield Propco Holdings LLCAdp of the snf1 May 2025
Venza Care Admin Services LLCAdp of the snf26 Feb 2026
Vertex Financial Services LLCAdp of the snf1 May 2025
Welltower Op, LLCAdp of the snf14 Apr 2026

The site shows organisations only. It does not show the names of persons.

Other homes in Johnston County

The 4 nearest other nursing homes in Johnston County, North Carolina
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Barbour Court Nursing and Rehabilitation CenterSmithfield4 of 53$026 Feb 2026
Springbrook Nursing and Rehabilitation CenterClayton3 of 50$25,62524 Apr 2025
Clayton Rehabilitation and Healthcare CenterClayton1 of 520$166,07513 Feb 2026
Liberty Commons Nursing & Rehabilitation Center OfBenson2 of 57$15,59320 Nov 2025

All 5 nursing homes in Johnston County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Smithfield Manor Rehabilitation and Healthcare Cen (CCN 345175). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/smithfield-manor-rehabilitation-and-healthcare-cen-smithfield-nc-345175/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Smithfield Manor Rehabilitation and Healthcare Cen last inspected?
The latest inspection with a citation in the CMS record was on 23 Apr 2026. It was a standard survey and a complaint investigation. It gave 10 citations. The standard survey before the last one was on 24 Jan 2025.
Who operates Smithfield Manor Rehabilitation and Healthcare Cen?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Venza Care Management. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
Is Smithfield Manor Rehabilitation and Healthcare Cen a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.