Certified for Medicaid only. It cannot bill Medicare, so a short post-hospital rehabilitation stay would not be covered the usual way here. Who pays for nursing home care →
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, isolated · Feb 7, 2025 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 21, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Feb 7, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 21, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Feb 7, 2025 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 24, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Dec 16, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 21, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, isolated · Dec 16, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 7, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Apr 21, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 17, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Apr 21, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 17, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Feb 23, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 17, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 29 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaintF-0550
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaintF-0689
J · Immediate jeopardy, isolated
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaintF-0580
View all 29 inspection findingsShow only the latest 3 findings
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
Jun 23, 2026
D · Potential for more than minimal harm, isolated
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Oct 9, 2025
D · Potential for more than minimal harm, isolated
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 7, 2025
▲ J · Immediate jeopardy, isolated
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Feb 7, 2025
▲ J · Immediate jeopardy, isolated
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Feb 7, 2025
▲ J · Immediate jeopardy, 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. · from a complaint · F-0760
Feb 7, 2025
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Dec 16, 2024
▲ J · Immediate jeopardy, isolated
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Dec 16, 2024
▲ J · Immediate jeopardy, isolated
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Dec 16, 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
Dec 16, 2024
E · Potential for more than minimal harm, pattern
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 16, 2024
D · Potential for more than minimal harm, isolated
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
Dec 16, 2024
D · Potential for more than minimal harm, isolated
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Dec 16, 2024
D · Potential for more than minimal harm, isolated
The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint · F-0693
Dec 16, 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
Dec 16, 2024
D · Potential for more than minimal harm, isolated
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Dec 16, 2024
C · Potential for minimal harm, widespread
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Dec 16, 2024
B · Potential for minimal harm, pattern
The facility did not honor residents' right to manage their own money and financial affairs. · F-0567
Dec 16, 2024
B · Potential for minimal harm, pattern
The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Apr 21, 2024
▲ K · Immediate jeopardy, pattern
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Apr 21, 2024
▲ K · Immediate jeopardy, pattern
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 21, 2024
E · Potential for more than minimal harm, pattern
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 21, 2024
E · Potential for more than minimal harm, pattern
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Feb 23, 2024
▲ K · Immediate jeopardy, pattern
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Feb 23, 2024
E · Potential for more than minimal harm, pattern
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867
Nov 7, 2023
D · Potential for more than minimal harm, isolated
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Nov 7, 2023
D · Potential for more than minimal harm, isolated
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint · F-0607
Aug 18, 2023
E · Potential for more than minimal harm, pattern
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 18, 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. · from a complaint · F-0761
Aug 18, 2023
B · Potential for minimal harm, pattern
The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 1).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
5
Serious citations (G–L):
0
2024
All citations:
18
Serious citations (G–L):
5
2025
All citations:
5
Serious citations (G–L):
3
2026
All citations:
1
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
5
0
E
2024
18
5
K ▲
2025
5
3
J ▲
2026
1
0
D
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.
1 fine totaling $167,242, plus 1 Medicare payment denial period.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Feb 23, 2024
Fine
$167,242
Feb 23, 2024
Payment Denial
50 days from Mar 28, 2024
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
10.58
North Carolina average:
4.01
U.S. average:
3.95
Registered Nurse hours
This facility:
1.37
North Carolina average:
0.64
U.S. average:
0.69
Weekend total nurse staffing
This facility:
9.42
North Carolina average:
3.56
U.S. average:
3.50
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)
10.58
4.01
3.95
top 1% in North Carolina; top 1% in the U.S.
Registered Nurse hours
1.37
0.64
0.69
top 5% in North Carolina; top 6% in the U.S.
Weekend total nurse staffing
9.42
3.56
3.50
top 1% in North Carolina; top 1% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.84
0.41
0.48
top 6% in North Carolina; top 10% in the U.S.
Total nursing staff turnover (%)
39.0
49.0
45.8
top 27% in North Carolina; top 34% in the U.S.
RN turnover (%)
43.8
45.7
42.9
top 48% in North Carolina; bottom 46% 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 10.31, RN 1.34, weekend 9.18.Comparing with Medicare Care Compare? Care Compare shows the raw figure (10.31 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
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.
No verified facility-specific private-pay price is available in our data for O'Berry Neuro-Medical Treatment Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Facility data as of CMS processing date 2026-08-01. CCN 34A002.
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The Care File
Visit checklist — O'Berry Neuro-Medical Treatment Center
400 Old Smithfield Road, Goldsboro, NC 27533 · (919) 581-4001
Health inspection rating 1/5 · CMS overall 2/5 · SFF Candidate· Fines (3y): $167,242
Most serious findings on record:
▲ Feb 7, 2025 (F-0580, Immediate jeopardy, isolated): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
▲ Feb 7, 2025 (F-0684, Immediate jeopardy, isolated): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Feb 7, 2025 (F-0760, Immediate jeopardy, 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.
Questions for the administrator:
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
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 34A002 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)