Barbour Court Nursing and Rehabilitation Center

    515 Barbour Rd, Smithfield, NC 27577
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Warm, professional, attentive, clean, compassionate

    I'm very happy with the care my mother received at this recently refreshed facility. Staff from the friendly greeter to nurses, CNAs and the activity director were welcoming, attentive and genuinely caring - Natasha and Wanita really stood out. The building is clean, smells fresh, meals were enjoyed, rehab was excellent, and management (Administrator Truman and social worker Victoria) kept communication open. I highly recommend this warm, professional place for compassionate, respectful care.

    Loved one of resident
    Jul 2026

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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

    Reviews

    3.09·(53)

    Overall rating

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

      3.2
    • Staff

      3.3
    • Meals

      2.8
    • Amenities

      3.1
    • Value

      2.0

    Pros

    • Compassionate, attentive nursing and aide care
    • Effective memory-care unit leadership
    • Improved executive leadership and communication
    • Strong rehabilitation services with documented recoveries
    • Clean, well-maintained interior areas and housekeeping
    • Responsive maintenance for urgent repairs
    • Warm, welcoming reception and friendly greeter
    • Flexible visiting policies and outdoor seating areas
    • Engaging activities and active activity director
    • Supportive social work and efficient billing staff
    • Respectful staff–resident interactions in many units
    • Organized upper-management coordination and follow-up

    Cons

    • Inconsistent quality of care across different units
    • Unreliable staffing levels and slow response to call bells
    • Incontinence-care delays and hygiene-management gaps
    • Variable dementia-care competence and training gaps
    • Inconsistent adherence to physician orders and clinical notes
    • Equipment and supplies management deficiencies
    • Building infrastructure limitations (limited air conditioning)
    • Inconsistent meal quality and dining satisfaction
    • Allegations of privacy and theft concerns
    • Insufficient night-shift coverage and supervision

    Summary of reviews

    The reviews describe a facility with a mix of clear strengths and persistent operational weaknesses. Many families note substantial improvements under a newer executive team: leadership, social work, and billing staff are cited for improved communication and problem-solving, and specific memory-care and rehabilitation units have been highlighted for compassionate, attentive care. Housekeeping and interior cleanliness receive positive comments in multiple accounts, and maintenance staff are sometimes praised for prompt fixes. Activities, outdoor seating, and flexible visiting are strengths that contribute to a welcoming environment for many residents.

    Care quality is uneven. Several families describe staff who are caring, proactive, and respectful; others describe delays in attending to residents and gaps in hygiene-related care. There are repeated indications of variability between units and shifts—some halls are characterized as well-staffed and attentive while others are described as understaffed or slow to respond. Concerns about medication and clinical-order adherence, as well as situations where families felt they had to supplement care or supplies, point to inconsistent clinical follow-through in some cases.

    Staff behavior and workforce issues also show a split pattern. Numerous reviewers praise nurses, CNAs, and specific leaders for professionalism and empathy, and mention staff who go above and beyond. At the same time, comments about unprofessional tone at reception, inattentive aides, heavy workloads, and training gaps are recurrent. Night-shift coverage and supervision are particular areas of concern for some families. These mixed observations suggest variability driven by staff turnover, training differences, or unit-level management.

    Dining and activities receive mixed evaluations. Several reviewers praise meals and the range of activities, citing residents who enjoy their food and social programming. Other families describe inconsistent meal quality and instances where residents skipped food. Rehabilitation services are frequently noted as effective, with documented successful discharges, though some accounts describe therapy as only adequate or inconsistent.

    The physical plant is described as an older building that is generally kept tidy inside, but with infrastructure limitations. Lack of air conditioning in some areas, occasional odor concerns, broken or ill-fitting equipment, and missing resident items (TV remotes, mobility aids) are operational issues raised alongside examples of prompt maintenance responses. These details indicate that the facility can maintain public areas but has gaps in equipment management and building-wide climate control.

    Management and oversight have changed perceptions for many families. Positive comments credit a new executive team with transforming communication and care culture; however, historical accounts of poor accountability and temporary improvements tied to inspections indicate that consistency remains a concern. There are also serious individual allegations concerning privacy and theft that families should consider and, if relevant, investigate further.

    Notable patterns: the facility shows meaningful improvements in leadership, memory care, and rehabilitation while continuing to exhibit variability in day-to-day operations—particularly staffing consistency, hygiene-related care, equipment availability, and night coverage. Prospective residents and families should evaluate specific units and shifts, ask about current staffing ratios and dementia-care training, verify equipment and supply practices, and tour the facility during different times of day to assess consistency.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Barbour Court Nursing and Rehabilitation Center

    Barbour Court Nursing and Rehabilitation Center is located at 515 Barbour Rd, Smithfield, NC, 27577.

    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.

    People often ask...

    Barbour Court Nursing and Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Barbour Court Nursing and Rehabilitation Center on Mirador.

    The full address for this community is 515 Barbour Rd, Smithfield, NC 27577.

    No, Barbour Court Nursing and Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Barbour Court Nursing and Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Barbour Court Nursing and Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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