How to file a complaint about care →
No fines or payment denials in the published 3-year window.
515 Barbour Road, Smithfield, NC 27577 (opens Google Maps) · Johnston County · (919) 934-6017· 165 certified beds · avg 137 residents/day · certified since Dec 1, 1983 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
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. F-0760
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. F-0576
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 26, 2026 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 26, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Feb 26, 2026 | C · Potential for minimal harm, widespread | 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. · F-0576 |
| Nov 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0578 |
| Nov 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0657 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0602 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Nov 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0655 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0806 |
| Sep 1, 2023 | D · Potential for more than minimal harm, isolated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | D |
| 2024 | 5 | 0 | E |
| 2026 | 3 | 0 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.15 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Barbour Court Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Principle Long Term Care — 40 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 39 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 345237.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).
May we use Google Analytics cookies to measure visits and pages viewed? Optional — every feature works without them. Privacy details