Barbour Court Nursing and Rehabilitation Center

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

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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

    3.13·(54)

    Overall rating

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

      3.2
    • Staff

      3.3
    • Meals

      3.0
    • Amenities

      3.1
    • Value

      2.0

    Pros

    • Compassionate and attentive nursing and caregiving staff
    • Improved leadership and management under recent administration
    • Effective rehabilitation and therapy services
    • Clean, well-maintained interior and housekeeping
    • Enjoyable meals and positive dining experiences
    • Active and engaging activities program and outdoor seating
    • Flexible visitation practices
    • Helpful billing and admissions coordination
    • Welcoming front-desk and greeter presence
    • Supportive social work and family communication

    Cons

    • Inconsistent staff responsiveness to call bells and care needs
    • Variability in care quality between different units and shifts
    • Sanitation and incontinence-care concerns
    • Inadequate environmental controls (heat and intermittent air conditioning)
    • Supply and equipment shortages and maintenance gaps
    • Gaps in clinical adherence and medication/documentation practices
    • Inconsistent dementia/memory-care expertise
    • Variable staff conduct and communication tone
    • Inconsistent food quality and meal-service continuity
    • Management accountability and communication gaps (historical)
    • Allegations of theft and privacy/confidentiality concerns
    • Staffing shortages and heavy CNA workload

    Summary of reviews

    The review set describes a facility with a mixture of clear strengths and persistent operational weaknesses. Positive feedback highlights compassionate, attentive nursing and caregiving staff, an active activities program, an inviting interior kept clean by housekeeping, and effective rehabilitation and therapy services that have helped some residents return home. Several families praised recent management changes and named staff members for improved communication, billing support, and a friendlier atmosphere; flexible visitation and outdoor seating were also mentioned as resident-focused amenities.

    Care quality appears uneven. Many reviewers praised nurses and CNAs on certain units or shifts, noting dignity-preserving care, helpful coordination, and strong end-of-life support. At the same time, there are repeated accounts of delays in attending to residents, call bells unanswered, and inconsistent adherence to clinical and medication instructions. These patterns suggest variability in day-to-day staffing and supervision rather than a uniformly applied standard of care. Memory-care and dementia-specific expertise was described as effective in some cases and insufficient in others, indicating inconsistent specialized training or assignment.

    Dining and activities receive mixed but informative comments. Multiple families described enjoyable meals and engaging activities, while others noted poor meal quality or missed meals. The activities program, social work support, and a visible activity director were positive contributors to residents' quality of life when present. Families should expect variability in dining experience and consider asking about current menus, therapeutic diets, and how missed meals are managed during a tour.

    Facility and maintenance issues are recurring themes. Reviewers described generally clean interiors and attentive housekeeping alongside infrastructure concerns: intermittent air conditioning, heat in parts of the building, occasional leaks, and supply or equipment shortages (wheelchairs, bedside supplies, TV remotes). There are reports that maintenance responsiveness can be prompt in individual cases, but systemic maintenance and replacement of aging equipment appear to be ongoing needs.

    Management and culture show signs of recent change but remain inconsistent historically. Several reviews credit new leadership with measurable improvements in communication, staffing attitudes, and problem resolution. However, there are continuing concerns about management accountability, inconsistent enforcement of standards across units, and serious allegations including theft and privacy violations that families should consider when evaluating overall risk. Staffing shortages and heavy CNA workloads were commonly cited as contributors to delayed care and variable resident experience.

    Notable patterns: care and atmosphere can vary significantly by unit and by shift; families frequently contrasted well-performing units with others that required close oversight. Improvements under new management were emphasized by many who revisited the facility, but persistent operational issues—environmental controls, supply shortages, and inconsistent clinical practices—remain. Prospective residents and families would benefit from an on-site visit that includes unit-specific observation (including evenings/nights), direct questions about staffing ratios and dementia training, a review of recent inspection or incident follow-up, and confirmation of how the facility addresses equipment and sanitation concerns.

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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

    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.

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    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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