Smithfield Manor Rehabilitation and Healthcare Cen
902 Berkshire Road, Smithfield, NC 27577 · Johnston County · 160 certified beds · avg 140 residents/day · certified since Dec 1, 1977
Part of chain: VENZA CARE MANAGEMENT (25 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 12, 2025 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
▲ Immediate jeopardy, one-off · Apr 19, 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 9, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 19, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 9, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 4, 2025 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
All citations in the current public record (21)
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 |
|---|---|---|
| Apr 23, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 23, 2026 | E · Potential for harm, repeated | 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. · from a complaint |
| Apr 23, 2026 | 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 |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 23, 2026 | D · Potential for harm, one-off | 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 |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 23, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Apr 23, 2026 | 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. · from a complaint |
| Apr 23, 2026 | C · Minimal risk, facility-wide | 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. |
| Nov 4, 2025 | ▲ G · Actual harm, one-off | 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 |
| Sep 12, 2025 | ▲ J · Immediate jeopardy, one-off | 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 |
| Jan 24, 2025 | 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. |
| Jan 24, 2025 | 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. |
| Jan 24, 2025 | D · Potential for harm, one-off | 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. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 24, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 24, 2025 | 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. |
| Apr 19, 2024 | ▲ J · Immediate jeopardy, one-off | 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 |
| Apr 19, 2024 | ▲ J · Immediate jeopardy, one-off | 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 |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 2 | 2 | J ▲ |
| 2025 | 8 | 2 | J ▲ |
| 2026 | 10 | 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.
Fines and enforcement (last 3 years)
3 fines totaling $263,607.
| Date | Type | Amount / length |
|---|---|---|
| Sep 12, 2025 | Fine | $16,985 |
| Feb 26, 2025 | Fine | $4,147 |
| Apr 19, 2024 | Fine | $242,475 |
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) | 3.51 | 4.01 | 3.95 | bottom 38% in North Carolina; bottom 37% in the U.S. |
| Registered Nurse hours | 0.58 | 0.64 | 0.69 | top 42% in North Carolina; bottom 49% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.56 | 3.50 | bottom 35% in North Carolina; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.41 | 0.48 | top 47% in North Carolina; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 64.3 | 49.0 | 45.8 | bottom 15% in North Carolina; bottom 11% in the U.S. |
| RN turnover (%) | 68.2 | 45.7 | 42.9 | bottom 16% in North Carolina; bottom 13% 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 3.46, RN 0.57, weekend 3.04. Staffing rating: 2/5.
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: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| CH Smithfield Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/25/2026 |
| CW Smithfield Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/25/2026 |
| M Melb Opco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| M Melb Opco Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Ms Smithfield Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| S Melb Opco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| S Melb Opco Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| SE SNF Associates LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/25/2026 |
| SE SNF Associates Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/25/2026 |
| SE SNF Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/25/2026 |
| SE SNF Holdings Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/25/2026 |
| Smithfield SNF Operations Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| SS Smithfield Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Bankwell Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2025 |
| Bankwell Bank | Organization | ADP of the SNF | NOT APPLICABLE | 02/05/2026 |
| Chubb, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 02/19/2026 |
| Goodman, Menucha | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/01/2025 |
| Goodman, Menucha | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2025 |
| Hall- Thickman, Karen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2026 |
| Hall- Thickman, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "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 | Flags |
|---|---|---|---|---|---|
| Barbour Court Nursing and Rehabilitation Center | 2.4 mi | Smithfield, NC | ★★★★☆ | 4/5 | |
| Springbrook Nursing and Rehabilitation Center | 10.5 mi | Clayton, NC | ★★★☆☆ | 3/5 | |
| Clayton Rehabilitation and Healthcare Center | 11.5 mi | Clayton, NC | ★☆☆☆☆ | 1/5 | |
| Liberty Commons Nursing & Rehabilitation Center of | 14.4 mi | Benson, NC | ★★☆☆☆ | 2/5 | |
| O'Berry Neuro-Medical Treatment Center | 18.3 mi | Goldsboro, NC | ★★☆☆☆ | 1/5 | SFF |
| Bellarose Nursing and Rehab | 18.7 mi | Garner, NC | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345175.