Barbour Court Nursing and Rehabilitation Center

Name: Barbour Court Nursing and Rehabilitation Center
Address: 515 Barbour Road, Smithfield, NC, 27577, US
Telephone: 9199346017

515 Barbour Road, Smithfield, NC 27577 · Johnston County · 165 certified beds · avg 137 residents/day · certified since Dec 1, 1983

Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 26, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Feb 26, 2026	C · Minimal risk, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Nov 15, 2024	E · Potential for harm, repeated	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 15, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Nov 15, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Nov 15, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Nov 15, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Sep 1, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Sep 1, 2023	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
Sep 1, 2023	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2023	6	D
2024	5	E
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.60	4.01	3.95	bottom 45% in North Carolina; bottom 42% in the U.S.
Registered Nurse hours	0.61	0.64	0.69	top 37% in North Carolina; top 47% in the U.S.
Weekend total nurse staffing	3.37	3.56	3.50	top 42% in North Carolina; top 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.41	0.48	top 46% in North Carolina; bottom 40% in the U.S.
Total nursing staff turnover (%)	33.0	49.0	45.8	top 14% in North Carolina; top 20% in the U.S.
RN turnover (%)	25.0	45.7	42.9	top 17% in North Carolina; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.15, RN 0.53, weekend 2.95. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Principle Long Term Care, INC.	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2011
Boice, Gale	Individual	Corporate Officer	NOT APPLICABLE	03/05/2018
Cunningham, James	Individual	Corporate Director	NOT APPLICABLE	10/31/2014
Cunningham, James	Individual	Operational/Managerial Control	NOT APPLICABLE	10/31/2014
Johnson, Dianne	Individual	Corporate Director	NOT APPLICABLE	01/01/2011
Johnson, Dianne	Individual	Corporate Officer	NOT APPLICABLE	01/01/2011
Johnson, Dianne	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Principle It Services, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Principle It Services, INC.	Organization	ADP of the SNF	NOT APPLICABLE	04/08/2025
Principle Long Term Care, INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2011
Principle Long Term Care, INC.	Organization	ADP of the SNF	NOT APPLICABLE	04/08/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who completes resident assessments here, and how do you check them for accuracy?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How can my family member make private phone or video calls, and can we see where?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Smithfield Manor Rehabilitation and Healthcare Cen	2.4 mi	Smithfield, NC	★☆☆☆☆	1/5
Springbrook Nursing and Rehabilitation Center	8.2 mi	Clayton, NC	★★★☆☆	3/5
Clayton Rehabilitation and Healthcare Center	9.2 mi	Clayton, NC	★☆☆☆☆	1/5
Liberty Commons Nursing & Rehabilitation Center of	14.0 mi	Benson, NC	★★☆☆☆	2/5
Bellarose Nursing and Rehab	16.3 mi	Garner, NC	★★★★★	5/5
Wellington Rehabilitation and Healthcare	18.4 mi	Knightdale, NC	★☆☆☆☆	2/5
The Laurels of Forest Glenn	18.8 mi	Garner, NC	★★☆☆☆	2/5
Zebulon Rehabilitation Center	19.5 mi	Zebulon, NC	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Smithfield →

Facility data as of CMS processing date 2026-08-01. CCN 345237.

The Care File

Visit checklist — Barbour Court Nursing and Rehabilitation Center

515 Barbour Road, Smithfield, NC 27577 · 9199346017

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How can my family member make private phone or video calls, and can we see where?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345237 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)