Home›North Carolina›Johnston County›Smithfield Manor Rehabilitation and Healthcare Cen
C
Below Standard

Smithfield Manor Rehabilitation and Healthcare Cen

902 Berkshire Road · Smithfield, NC 27577

9199343171 · For profit - Corporation

160 beds127.5 residents217 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Smithfield Manor Rehabilitation and Healthcare Cen receives an overall staffing grade of C (Below Standard). With 3.5454 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5111 HPRD, below the recommended 0.75. It is 0.35 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.4% compared to weekdays. The facility has low agency staff usage (2.16% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5111 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.16%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5454hrs/resident/day▼ 0.35
CMS benchmark: 3.48
RN HPRD
0.5111hrs/resident/day▼ 0.17
Recommended: 0.75
Weekend Drop-off
19.4%
3.751 weekday → 3.0234 weekend
Agency Staff
2.16%
0.49% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1739hrs/resident/day
Direct care aides
LPN HPRD
0.7631hrs/resident/day
Licensed practical nurses
Consistency
0.3775std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Johnston County Average+0.07 HPRD
3.48
03.55 HPRD
vs. North Carolina State Average-0.22 HPRD
3.77
03.55 HPRD
vs. National Average-0.35 HPRD
3.90
03.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Smithfield Manor Rehabilitation and Healthcare Cen ★
Smithfield · This facility
—
C
3.54540.5111★☆☆☆☆
Barbour Court Nursing and Rehabilitation Center
Smithfield
2.4 mi
C
3.23670.4518★★★☆☆
Zebulon Rehabilitation Center
Zebulon
20.9 mi
C
3.51890.4061★★★★☆
Willow Creek Nursing and Rehabilitation Center
Goldsboro
22.1 mi
B
3.76890.6512★★★☆☆
Capital Nursing and Rehabilitation Center
Raleigh
23.4 mi
C
3.40010.4671★★★★☆
Sunnybrook Rehabilitation Center
Raleigh
23.5 mi
C
3.65740.5148★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
13
Total Deficiencies
$272,752
Fines Assessed
Nov 4, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 12, 2025Health
1 deficiency cited· Includes actual harm
▼
Jan 24, 2025Health
6 deficiencies cited
▼
Apr 19, 2024Health
2 deficiencies cited· Includes actual harm
▼
Sep 28, 2023Health
1 deficiency cited
▼
Mar 31, 2022Health
2 deficiencies cited
▼

Penalty History

Sep 12, 2025Fine
$26,130
Feb 26, 2025Fine
$4,147
Apr 19, 2024Fine
$242,475
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.