Meadowview

    250 Highway 210 West, Smithfield, NC, 27577
    3.4 · 12 reviews
    • Assisted living
    AnonymousLoved one of resident
    4.0

    Welcoming community; inconsistent medical care

    I give this place 4/5. It's clean, well-maintained and welcoming - short hallways, colorful dining room, friendly/helpful staff, regular activities, and easy family communication - and fit our budget. Big caveats: food is bland/often not hot and diabetic options are weak; medication/med-tech issues and high staff turnover led to inconsistent care (missed meds, denture neglect), promised therapies/transportation weren't reliable, and administration can be hard to reach. Good for fairly independent residents who want a pleasant, active community; not recommended for memory care or anyone needing dependable medical/therapy support.

    Pricing

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    Amenities

    3.42 · 12 reviews

    Overall rating

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

      2.5
    • Staff

      3.5
    • Meals

      3.0
    • Amenities

      3.7
    • Value

      3.0

    Pros

    • Caring and supportive frontline staff
    • Prompt communication with family members
    • Warm, welcoming activities and daily fellowship
    • Regular activities including exercise and entertainment
    • Clean facility with pleasant smell
    • Dining room kept clean, festive, and colorful
    • Posted menus and meal choices available
    • In-room dining option as well as dining hall
    • Short hallways and easy walk to meal areas
    • Helpful information and support during move-in
    • Positive vibe during tours and overall welcoming atmosphere
    • Residents report enjoying meals
    • Affordable option for some budgets / good value for some families
    • Well-maintained site and tidy common areas
    • Friendly, helpful staff noted by multiple reviewers
    • Some reviewers would recommend or were pleased overall
    • 4/5 overall rating reported by one reviewer
    • Room-sharing option available

    Cons

    • Management not responsive to family concerns
    • Therapies promised were not provided
    • Transportation services not provided as expected
    • Families had to arrange outside therapy
    • Meals described as barely decent or bland
    • Food often not served hot
    • Diabetic nutrition concerns and inadequate special-diet handling
    • High staff turnover
    • Poor staff engagement and inconsistent caregiving
    • Medication administration problems, including refusal of prescribed meds
    • Instances of prescriptions mishandled or found off-site
    • Administrator often unavailable and reportedly gossiping
    • Safety concerns mentioned by reviewers
    • Inadequate or inconsistent med tech performance
    • Dentures and basic hygiene not always attended to promptly
    • Bathroom repairs and maintenance issues needed
    • Overpriced accommodations according to some reviewers
    • Not recommended for memory care or cognitively impaired residents
    • Unsuitable for more mobile or cognitively functioning residents (per some reviewers)
    • Some reviewers would only choose it as a last resort

    Summary review

    Overall sentiment across the reviews is mixed but leans toward a split between appreciation for the frontline caregiving environment and significant concerns about management, clinical consistency, and specialized care. Many reviewers praise the day-to-day caregivers: staff are repeatedly described as caring, friendly, supportive, and helpful. Families note prompt communication, a warm atmosphere, festive and clean dining spaces, posted menus, and a variety of social activities including exercise classes, entertainment, and daily fellowship. The facility itself receives positive comments for cleanliness, pleasant smell, short hallways that make meal access easy, and generally well-maintained common areas and decorations. For some prospective residents and families the price met budget needs and was seen as good value.

    However, those positive impressions are frequently qualified or undermined by operational and clinical issues. Several reviewers raised serious concerns about management responsiveness and administrative behavior: families reported that management did not adequately address concerns, the administrator was often unavailable and sometimes engaged in gossip, and there is a perception of high turnover and weak leadership. These administrative problems appear linked to variable staff engagement and inconsistent caregiving. Multiple reviewers described medication administration problems (med techs refusing or inconsistently administering prescribed meds), reports of prescriptions being mishandled or found at an employee's home, and other safety-related worries. These are material red flags for clinical reliability and resident safety.

    Dining and nutrition present a mixed picture. The dining room aesthetic and service environment are praised—clean, festive, with posted menus and meal choices—and some residents clearly enjoy the meals. At the same time, numerous comments mention bland food, meals not served hot, and specific concerns about diabetic nutrition and special-diet handling. A few reviewers described meals as "barely decent," which contrasts with others who call the food satisfactory. This suggests variability in meal preparation or service that families should probe further.

    Therapies and medical support were another recurring theme of concern. Several families indicated that promised therapies or transportation services were not provided, forcing them to arrange outside therapy. Complaints about inadequate med techs, inconsistent care (including basic hygiene issues such as dentures not being cleaned for days), and the need to supplement care externally indicate gaps in clinical services and oversight. Reviewers explicitly noted that Meadowview is not recommended for memory care or for residents who require consistent cognitive support; a few went further and said the facility was only acceptable as a last resort. At the same time, some reviewers recommended the community for more independent residents or those with lighter needs, highlighting that experiences are not uniform.

    Facilities and maintenance comments are mostly positive but not uniformly so. Cleanliness, decor, and the pleasant atmosphere are strengths, but there were specific notes about bathroom repairs being needed. These maintenance complaints appear limited compared with the larger concerns about care consistency and administration, yet they contribute to an impression of uneven operational follow-through.

    In summary, the strongest and most consistent positives are the caring attitude of many frontline staff, a welcoming community atmosphere, clean and festive dining spaces, organized activity programming, and accessibility within the building. The most significant negatives are management and leadership issues, inconsistent or unsafe medication and clinical practices, unmet promises for therapy and transportation, variability in meal quality (including diabetic diet concerns), and suitability questions for residents needing memory or higher-level clinical care. Prospective families should weigh these patterns carefully: if personal, hands-on caregiver relationships and daily community life are the primary needs, Meadowview may meet expectations. If reliable clinical administration, medication management, consistent therapeutic services, or specialized memory care are essential, the reviews indicate risks and recommend further vetting.

    Practical takeaways for families considering Meadowview: during a tour, verify medication administration policies and observe a med pass if possible; ask for documentation and schedules for promised therapies and transportation; request details about staff turnover and administrator availability; inquire specifically about diabetic meal planning and food temperature/service practices; inspect resident rooms and bathrooms for maintenance issues; and speak with current residents or families about their experiences with continuity of care and safety. These targeted checks will help determine whether the facility's strong interpersonal staff qualities align with the clinical reliability and management responsiveness your loved one requires.

    Location

    Map showing location of Meadowview

    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.

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