Barbour Court Nursing and Rehabilitation Center

    515 Barbour Rd, Smithfield, NC, 27577
    3.0 · 48 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Compassionate staff, inconsistent overall care

    I've had a mixed experience. New management, the rehab team and many nurses/CNAs (Ashley, Chelsie, Natasha, Victoria, Truman) were compassionate, helpful and helped my grandmother improve - the building can be clean, welcoming, and visiting is flexible. But care is inconsistent: units appear understaffed/overworked, call bells sometimes go unanswered, dementia and grooming lapses occurred (missed meds, soiled briefs, even a feces incident), and there are maintenance/AC and supply problems. My advice: some staff and units are excellent and I'd recommend them, but others are negligent - tour repeatedly and verify staffing before deciding.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.04 · 48 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.1
    • Staff

      3.3
    • Meals

      2.8
    • Amenities

      3.1
    • Value

      3.0

    Pros

    • Compassionate and attentive nursing staff
    • Caring, friendly CNAs and aides on many shifts
    • Notable improvement under new management/leadership
    • Specific staff praised by name for exceptional care
    • Cleaner, well-kept interior despite older building
    • Successful rehab outcomes for some residents
    • Good communication from some administrators and social work
    • Approachable and responsive billing/coordination staff
    • Helpful activity director and welcoming greeter
    • Flexible visiting policy and outdoor sitting area
    • Housekeeping that keeps rooms clean and organized
    • Cooperative and patient staff toward families
    • Coordinators regularly check on patients
    • Warm, respectful treatment and dignity for many residents
    • Friendly atmosphere and residents making friends
    • Prompt maintenance response in some cases
    • Comfortable rooms and residents satisfied with accommodations
    • Some strong unit-level teams with consistent care

    Cons

    • Reports of neglect, including prolonged soiled briefs and missed care
    • Inconsistent quality of care between different halls/units
    • Unresponsive call bells and slow staff response
    • Night staffing shortages and lack of night coverage
    • Poor dementia care and lack of memory-care understanding
    • Instances of discrimination, privacy violations, and unprofessional behavior
    • Lack of accountability from management in earlier periods
    • No or inadequate air conditioning; hot building
    • Maintenance problems (leaks, supplies missing) recurring
    • Families required to supply meds, equipment, and personal items
    • Broken or insufficient wheelchairs and mobility equipment
    • TV remotes missing or broken; limited TV reception
    • Food quality inconsistent—some call it terrible
    • Dehydration and medication/diabetes mismanagement reported
    • Odors reported inside the building at times
    • Reports of patients left on floor or found unattended
    • Temporary improvement only around state inspections
    • Staff undertrained/overworked; CNAs report back strain
    • Loss or misplacement of personal items (eyeglasses)
    • Privacy and trust concerns (alleged video recording of patients)
    • Allegations of rude, mean, or hateful staff behavior
    • Poor grooming and hygiene care reported
    • Rehab services variable—some report little to no therapy
    • Administrative staff sometimes uninformed or disorganized
    • Some reviewers advise strongly against placing loved ones here
    • Mixed reports about whether residents are treated with dignity consistently
    • Safety incidents (feces smeared, feeding errors) reported
    • Building older and in need of revamp despite being tidy
    • Inconsistent meal service and missed meals for some residents
    • Reports of discriminatory treatment and lack of law-abiding practices

    Summary review

    Overall sentiment across the reviews is strongly mixed and highly polarized. Many reviewers report a transformed, compassionate environment under new management and praise specific staff for excellent care; others describe serious neglect, unprofessional behavior, and unsafe conditions that led them to strongly advise against placing loved ones at the facility. There is a clear pattern of improvement cited by a number of families—often linked to recent leadership changes and named personnel—contrasted with numerous longstanding or prior problems that continue to worry some reviewers.

    Care quality is one of the most frequently debated themes. Positive accounts emphasize attentive nursing teams, caring CNAs, and coordinators who walk the halls and check on residents. Several reviewers credit rehabilitation staff with meaningful improvement and successful discharges home. Conversely, many reviews describe neglectful incidents: residents found on the floor, soiled briefs left too long, missed meals, dehydration, missed or poorly managed medications and diabetes care, and call bells left unanswered. Memory/dementia care is specifically criticized by multiple reviewers who say staff lack appropriate understanding or training. A recurring pattern is inconsistency—some units or halls (e.g., reports of very good care on the “100 hall”) receive high marks while other units (e.g., “500 hall”) are singled out for poor care.

    Staff behavior and culture receive both praise and criticism. Multiple family members name and thank individuals—Natasha, Cheslie/Chelsie, Ashley, Wanita, Truman, Victoria, and others—for compassionate, communicative, and hands-on leadership and care. New executive team members are repeatedly connected to improved communication, problem-solving, and a warmer environment. Yet other reviewers recount rude, discriminatory, or unprofessional staff interactions, including privacy concerns (alleged video recording of patients), disrespectful comments, and at least one report of discriminatory or hateful behavior. Several reviews highlight that staff are underpaid and overworked, sometimes causing burnout, back strain for CNAs, or inattentive care.

    Facility, maintenance, and supplies generate mixed feedback. Many reviewers praise cleanliness and housekeeping—rooms smelling good, tidy common areas, and holiday decorations. The building is often described as older but well maintained in appearance. Nonetheless, tangible operational issues recur: no or inadequate air conditioning causing hot conditions, leaks under sinks, missing supplies like urinals and bedpans, small or broken wheelchairs, and TV remotes or reception problems. Some maintenance issues are handled promptly by individual staff, but other reviewers describe ongoing maintenance neglect. Several families report having to provide equipment, medications, or personal care supplies themselves.

    Dining, activities, and amenities are uneven. Some residents and families praise meals and the activity program, saying the mother enjoyed meals and made friends, and there is an outdoor sitting area and welcoming greeter. Other reviews bluntly call the food terrible, with some meals left uneaten. Entertainment options are limited in some rooms (antenna-only TV), and aides are sometimes described as not assisting residents to meals without multiple prompts.

    Safety and dignity concerns are among the most serious issues raised. Multiple reviewers described incidents where residents’ hygiene and dignity were neglected—feces smeared in hair, soiled briefs, and poor grooming. There are also reports of medication mismanagement (including a claim of improper diabetes feeding), privacy violations, and allegations that state inspections only temporarily improve conditions. These accounts represent red flags that prospective families should investigate thoroughly.

    Patterns and practical recommendations emerging from the reviews: the facility appears to be in a transitional phase—many positive accounts specifically reference newer management, improved communication, and staff who are going above and beyond. However, variability between shifts, units, and individual staff members is pronounced. Prospective families should (1) ask specifically about the unit their loved one would live in and which staff would be assigned, (2) inquire about night staffing levels and call bell response times, (3) confirm the status of air conditioning and essential supplies/equipment, (4) check how the facility manages dementia care and medication/diabetes protocols, and (5) request references or speak with current families about recent changes. Named staff and administrators receive strong praise from multiple reviewers—connecting with those individuals may provide a clearer picture of current practices.

    In summary, Barbour Court Nursing and Rehabilitation Center has substantive evidence of both meaningful improvements and serious, unresolved problems. The facility can and does provide compassionate, effective care in many cases—especially where new leadership and specific staff are involved—but the frequency and severity of negative reports (neglect, inconsistent care, safety and dignity breaches, operational issues) make it essential for families to investigate unit-level performance, staffing patterns, and recent inspection outcomes before placement. The center shows potential and recent positive change, but the risk of inconsistent care remains significant based on the review set provided.

    Location

    Map showing location of Barbour Court Nursing and Rehabilitation Center

    About Barbour Court Nursing and Rehabilitation Center

    Barbour Court Nursing and Rehabilitation Center is a nursing home with 165 certified beds and usually has about 134 residents daily. The facility has a mix of long-term and short-term care, memory care, and rehabilitation services. There's a team that includes nurse staff and certified nursing assistants around the clock, though the nurse hours per resident are a bit lower than the state average. The staff turnover rate for nurses is slightly better than most other places in the state. Principle Long Term Care, Inc. manages the center, and Ms. Lisa L. Fitzgerald serves as the administrator, along with a manager named Tammy Kendall and oversight from Mr. Robert P. Hill, Jr.

    Residents can stay in semi-private rooms or, if they're in rehab, new private accommodations are available. Some folks enjoy the beautiful enclosed courtyard, social activities like music, socials, Sunday School, and church services, and use the beauty salon or Barbour Shop for a little extra care. Meals come from a modern rustic dining room and an elegant formal dining room, and a registered dietician plans out therapeutic diets for those who need them.

    Specialists visit the facility, so residents can get podiatry, dental, and optometry services without having to leave. The therapy department offers speech, occupational, and physical therapy seven days a week, and there's wound management-including Wound Vac treatments-and IV therapy, too. Memory care units give extra security for people with dementia or Alzheimer's, and respite care is available for families who need a bit of help.

    Barbour Court has been cited for 26 deficiencies in inspections, including trouble with the proper labeling and storage of medicines, delays in making care plans, and failing to fully honor residents' rights about treatment choices and advance directives. There's been one infection-related citation. None of these deficiencies led to actual harm but inspectors noted potential for more than minimal harm. The staff works under COVID-19 safety protocols, following the advice from state health agencies and CMS, with extra things like HEPA air scrubbers and advanced cleaning to help keep residents safe.

    Residents at Barbour Court get support with daily tasks and have access to counseling, family and resident support groups, and social workers. Transportation, spiritual care, hospice, and restorative nursing are part of the services. The secure environment, regular health screenings, electronic access controls, and personalized care plans help create a safer setting for folks who need extra help. The facility is licensed by the State of North Carolina and is certified for Medicaid and Medicare, so different options are open for payment and care. While the center isn't BBB accredited and has two locations, it's designed to offer a comfortable place and a mix of services for many different needs, focusing on making life as good as it can be for its residents while working to address issues when they come up.

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