Meadowview

    250 Hwy 210 West, Smithfield, NC 27577
    • Assisted Living
    • Skilled Nursing

    Friendly staff, clean and welcoming

    I moved my mom here and I'm very pleased. Staff are consistently friendly, helpful and communicative; the building is clean and homey with bright, festive dining (posted menus, in-room or dining-hall options) and plenty of activities like bingo, game nights, exercise and church services. Rooms are comfortable, the layout is convenient, and overall it's a welcoming, well-run place I'd recommend.

    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

    3.74·(47)

    Overall rating

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

      3.0
    • Staff

      3.8
    • Meals

      3.2
    • Amenities

      3.8
    • Value

      2.7

    Pros

    • friendly, helpful staff
    • caring and attentive caregivers
    • prompt family communication
    • clean, well-maintained interior
    • easy-to-navigate one-floor layout
    • convenient central location near family and church
    • varied apartment and private-room options
    • built-in safety features (emergency cords and bathroom grab bars)
    • on-site amenities (salon, laundry, courtyards)
    • clean, well-lit dining room with posted menus
    • in-room dining option
    • regular activities program (bingo, games, exercise, church services)
    • welcoming atmosphere supporting room personalization
    • spacious rooms and private-porch options
    • strong sanitation in common areas

    Cons

    • inconsistent staffing levels and high turnover
    • variable staff training and knowledge
    • weak medication-management controls
    • inconsistent caregiving responsiveness and delays in assistance
    • administrative inaccessibility and leadership turnover
    • inconsistent dining quality and food-temperature control
    • dietary-management gaps for special diets (for example, diabetic nutrition)
    • inconsistent housekeeping and maintenance
    • pest-control concerns in some units
    • unreliable ancillary services (transportation and on-site therapy)
    • lack of a dedicated memory-care program
    • mixed resident population without clear separation of care needs
    • perceived high pricing relative to value
    • inconsistent activity availability

    Summary of reviews

    Reviewer feedback for Meadowview is mixed, combining frequent praise for frontline staff, the built environment, and on-site amenities with recurring operational concerns. Positive impressions center on personable caregivers, prompt family communication in many cases, clean common areas, an easy-to-navigate single-floor layout, and a range of apartment options including private rooms and porches. The community offers tangible conveniences such as an on-site salon and laundry, a clean and well-lit dining area with posted menus, and both dining-hall and in-room meal options. Regular social programming is noted—bingo, games, exercise classes, and church services are commonly mentioned—and reviewers often describe a welcoming, homey atmosphere that allows room personalization.

    Care quality and staffing elicit the most polarized responses. Numerous accounts describe caring, attentive staff who advocate for residents and maintain open communication with families; at the same time, there are repeated concerns about inconsistent staffing levels, frequent turnover, and variable staff training. These workforce issues are linked to reports of delayed assistance, uneven caregiving responsiveness, and lapses in clinical practices. Several reviewers described medication-management issues that raise safety questions; these comments point to weak medication controls and inconsistent adherence to protocols rather than isolated preference complaints.

    Dining and nutrition are similarly mixed. The dining room and posted menus are seen as strengths, and many residents enjoy the food and festive dining environment. However, reviewers also note inconsistent food quality and temperature control, and specific concerns about dietary management for residents with special needs (for example, diabetic nutrition). Some families noted that meals are not prepared on-site, which they believe affects consistency. Those evaluating Meadowview for a loved one with strict dietary requirements should ask detailed questions about menu planning and special-diet accommodations.

    Activities and social life are generally a positive aspect of the community: an active activity director, frequent programming, and opportunities for fellowship are cited as reasons residents enjoy daily life. That said, activity availability has been interrupted at times (for example during the pandemic), and some families wished for a broader or more consistent schedule.

    The physical plant and amenities receive favorable comments for cleanliness, layout, and safety features, but maintenance and housekeeping appear uneven across units. Bathroom repairs, variable room sizes, and occasional pest-control concerns were noted. Pricing is also a recurrent consideration; several reviewers describe the community as higher-priced, and a subset of families questioned value relative to the level of clinical services delivered.

    Management and organizational patterns show a split perception. Some families praise specific leaders and cite timely, helpful responses from management; others describe difficulty accessing administrators, leadership turnover, and a perceived emphasis on finances over operations. There are also concerns about clinical coordination and reliability of ancillary services such as transportation and on-site therapy, which were not consistently provided according to some accounts.

    Overall, Meadowview may suit independent or mobile residents who value a friendly atmosphere, on-site amenities, and an engaged activities program. Families seeking a setting with dependable clinical oversight, a dedicated memory-care unit, consistent staffing, and robust medication controls should request detailed, specific information during a tour: staffing ratios by shift, medication-administration policies and recent audit results, memory-care availability and separation, meal sourcing and special-diet protocols, recent maintenance and pest-control records, and documentation of therapy and transportation services. An in-person visit that includes discussion of these operational items will give the clearest sense of whether the community’s strengths align with a prospective resident’s needs.

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    Location

    Map showing location of Meadowview

    Meadowview is located at 250 Hwy 210 West, Smithfield, NC, 27577.

    About Meadowview

    Meadowview sits near the banks of the Neuse River in Smithfield, North Carolina, close to downtown and the highways, and is nestled among farmlands and rolling hills, which really gives it a nice country feel, and it's been owned and run by a local family for about 10 years now, operating as a non-profit and being well known in the area. Meadowview is a large community with 60 beds and offers many kinds of care, like independent living for those who want to live on their own, assisted living for folks who need help with daily activities, skilled nursing for those who have more medical needs, and memory care for residents with memory loss. There are private and semi-private rooms, including studio and two-bedroom layouts, and every living space comes furnished with bathrooms, kitchenettes, cable TV, telephone, Wi-Fi, air conditioning, and security locks, so residents can feel comfortable and safe with individual heating and cooling. The community makes life simpler with maintenance-free living, so residents don't have to worry about things like cleaning or laundry, because housekeeping, linen services, and move-in help are all provided.

    The dining room works like a restaurant, and meals are cooked by professional chefs using organic ingredients, with all kinds of diets in mind, whether someone needs low or no sodium, no sugar, kosher or vegetarian options, and there are even guest meals and room service for when residents want to eat in their own rooms. There's always something happening with a full-time activity director planning things like art classes, Bible study groups, cooking lessons, day trips, happy hours, live music, outings to restaurants and Wal-Mart, devotional activities, and educational talks, plus over 30 different outside groups, like choirs or children's groups, coming in regularly, so there is always a chance for socializing or joining a community event, and you'll find indoor spaces like a dining room, game room, activity room, small library, arts room, fitness and wellness centers, and a spa, plus outdoor areas with gardens, walking paths, and space to enjoy nature, as well as designated areas for outdoor smoking.

    Meadowview emphasizes respect for resident choices and lets folks age in place by adjusting the care as their needs grow, offering everything from light help, like getting dressed or reminders for the bathroom, to more hands-on support, including two-person transfers for folks who can't walk on their own, incontinence care, diabetic care with insulin, memory care, and full nursing care for up to 12-16 hours a day, all under the eyes of a 24-hour awake staff including nurses and visiting professionals like podiatrists, physical and speech therapists, and with personal care aides helping with bathing, dressing, medication, or anything else needed. There's a strong focus on safety, with an emergency alert and call system, constant supervision, secure locks, and special features for residents with limited mobility, like wheelchair accessible showers and non-ambulatory care, to make sure everyone feels safe and can get help right away. Residents can use transportation for doctor appointments or group outings, and there's parking for those who still drive, along with other services like move-in help, concierge service, and extra support for those paying with private pay, Social Security, veterans' benefits, or private insurance, plus they do charge a one-time and monthly fee, with extra fees for higher levels of care or for a second person sharing a room. Living here means being able to join games, movie nights, fitness programs, community gardens, worship services on and off site, and having space for both privacy and companionship, whether living in a private suite or sharing a room, with the staff always available round the clock.

    Meadowview supports independent living as long as possible but also has help for those who need more support or long-term care, offering choices in assisted living, skilled nursing, and memory care, and they're prepared for respite or short-term stays along with hospice care if it's needed, and since they allow aging in place, most residents can stay even as their care needs change, and with wi-fi and cable TV in every room, and plenty of home-like community spaces, there's always comfort, entertainment, and easy access to friends or family, which seems important for a lot of folks as they age.

    People often ask...

    Meadowview offers assisted living and skilled nursing.

    There are 8 photos of Meadowview on Mirador.

    The full address for this community is 250 Hwy 210 West, Smithfield, NC 27577.

    No, Meadowview 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.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number980347
    Facility typeAdult Care Home
    Capacity60 residents
    View the official license record

    Inspection Reports

    13

    Reports

    3

    Type A Citations

    2

    Type B Citations

    6

    Complaints

    10

    Years

    01 Aug 2024Follow-Up
    Investigated a complaint and follow-up; found plumbing maintenance issues, including a leaking toilet and standing water, with related safety concerns noted.
    • 10A NCAC 13F .0311(a) - Building safety and maintenanceOther Requirements
    01 Aug 2024Follow-Up
    Investigated and found multiple deficiencies across plumbing, personal care, health care, nutrition, and medication administration, including a leaking toilet, inadequate toenail care, failure to notify a PCP about elevated blood pressure, a missing fall mat, diet order mismatches, and incomplete insulin documentation.
    • 10A NCAC 13F .0311(a)Other Requirements
    • 10A NCAC 13F .0901(a)Personal Care and Supervision
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .0902(c)(3-4)Health Care
    • 10A NCAC 13F .0904(c)(7)Nutrition And Food Service
    • 10A NCAC 13F .0904(e)(4)Nutrition And Food Service
    • 10A NCAC 13F .1004(a)Medication Administration
    21 Dec 2023Follow-Up
    Investigated failure to arrange timely health care referrals and follow-up for a resident with cardiovascular disease and toe wound, including cardiology and home health services.
    • 10A NCAC 13F .0902(b)Health Care
    21 Dec 2023Follow-Up
    The report found deficiencies in coordinating referrals and scheduling for Resident #5, including missing appointments and gaps in communication among staff.
    • Continued From pages 2-4
    26 Oct 2023Complaint
    Inspector uncovered multiple deficiencies in health-care follow-up, basic care coordination, and dining/medication processes that affected several residents.
    • Type AHealth Care
    • Type A10A NCAC 13F .0902(b)Health Care
    • Type ANutrition
    26 Oct 2023Complaint
    Investigated a complaint and found several failures: hot water temperatures were too low, health care referrals were not followed, mealtime service used disposable dishware, and medications were not administered as prescribed.
    • 10A NCAC 13F .0311(d)Hot water temperature not maintained
    • null10A NCAC 13F .0902(b)Referral and follow-up for health care needs
    • 10A NCAC 13F .0904(b)(1)Nutrition and Food Service - meal service with disposable place settings
    • 10A NCAC 13F .1002(a)Medication orders clarification
    • Type B10A NCAC 13F .1004(a)Medication Administration
    04 Nov 2021Follow-Up
    Investigated background checks and personal care practices; found that background checks for a new staff member were not completed upon hire and that required personal care supervision was not adequately documented.
    • 10A NCAC 13F .0901(a) Personal Care and SupervisionPersonal Care and Supervision
    • 10A NCAC 13F .0901(a) Personal Care and SupervisionPersonal Care and Supervision
    04 Nov 2021Follow-Up
    Investigated care operations and found deficiencies in staff background checks, personal care, health care follow-up, and medication administration, including missed health appointments and poor foot care for a resident.
    • 10A NCAC 13F .0407(a)(5)Other Staff Qualifications
    • 10A NCAC 13F .0901(a)Personal Care and Supervision
    • Type B10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1004(a)Medication Administration
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    05 Dec 2019Construction
    Found multiple maintenance and safety deficiencies, including damaged interior doors, an unsecured toilet, and nonfunctional exhaust ventilation in several areas.
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Exhaust Ventilation
    16 Mar 2017Complaint
    Found deficiencies in the handling and documentation of controlled substances, including incomplete administration records and unclear MAR entries for prescribed narcotics.
    • 10A NCAC 13F .1008(a)Controlled Substances
    16 Mar 2017Complaint
    Investigated deficiencies in the handling of a controlled substance; disposition of Norco was not accurately documented. The records for administration, returns, and reconciliation did not align across logs and medication records.
    • 10A NCAC 13F .1008(a)Controlled Substances
    28 Jan 2016Construction
    Identified multiple deficiencies involving safety hazards and poor maintenance, including improper storage of cylinders, unsecured or improperly functioning locking systems, and inadequate ventilation/housekeeping.
    • Special Locking Arrangements
    • 10A NCAC 13F.0306Housekeeping and Furnishings
    • 10A NCAC 13F.0306Housekeeping - Maintained Free of Hazards
    • 10A NCAC 13F.0300Exhaust Ventilation
    • 10A NCAC 13F.0300Exhaust Ventilation
    28 Jan 2016Construction
    Found multiple deficiencies in the physical plant and safety systems, including improper door locking, unsecured furniture, hazardous storage of oxygen, and inoperable ventilation and fire stop features.
    • 10A NCAC 13F .0301Special Locking Arrangements
    • 10A NCAC 13F .0305Bathrooms - Hand Grips
    • 10A NCAC 13F .0306Housekeeping and Furnishings - Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping - Hazards
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Exhaust Ventilation

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

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