Barbour Court Nursing and Rehabilitation Center
515 Barbour Road, Smithfield, NC 27577
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
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Free guide: the exact questions to ask Barbour Court Nursing and Rehabilitation Center, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Barbour Court Nursing and Rehabilitation Center Compares
Barbour Court Nursing and Rehabilitation Center is a 165-bed for-profit nursing facility in Smithfield, North Carolina. It holds an overall CMS rating of 4 out of 5 stars, above the North Carolina average of 2.9 stars. Its strongest area is health inspections (4 stars), while quality measures (2 stars) is its weakest. Its rate of long-stay antipsychotic medication use (18.8%) is above the North Carolina average of 14.0% — a measure worth asking the staff about. With 165 certified beds, it maintains moderate occupancy at roughly 83% occupied.
Among the 2 nursing facilities ElderVoice tracks in Smithfield, the local average is 2.5 stars.
By the numbers vs. North Carolina average
- Long-stay antipsychotic medication use: 18.8% — worse than the North Carolina average of 14.0% (34% higher).
- Falls with major injury: 2.9% — better than the North Carolina average of 3.5%.
- High-risk pressure ulcers: 6.2% — worse than the North Carolina average of 5.5%.
- Short-stay rehospitalization: 27.7% — worse than the North Carolina average of 22.8%.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against North Carolina averages across 419 facilities tracked by ElderVoice.
Questions to Ask Barbour Court Nursing and Rehabilitation Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Barbour Court Nursing and Rehabilitation Center with other nursing homes in Smithfield.
How is Barbour Court Nursing and Rehabilitation Center addressing its quality measures rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Barbour Court Nursing and Rehabilitation Center doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 18.8% here versus 14.0% across North Carolina. Lower is generally better for this CMS measure.
What practices help Barbour Court Nursing and Rehabilitation Center keep falls with major injury below the state average?
Falls with major injury is 2.9% here versus 3.5% across North Carolina. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Barbour Court Nursing and Rehabilitation Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What explains Barbour Court Nursing and Rehabilitation Center's rating advantage in Smithfield?
Its 4-star overall rating is above the local average of 2.5 stars across 2 facilities. Ask which practices families can observe during a tour.
What would the first 30 days look like for a new resident at Barbour Court Nursing and Rehabilitation Center?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Smithfield
Smithfield sits in Johnston County, where adults 65 and older make up about 13.3% of the population — a lower share of seniors than North Carolina as a whole (16.3% statewide). The area's median household income is consistent with state averages.
- Residents 65+
- 27,100 (13.3%)
- Median age
- 38.4 years
- Median household income
- $61,806
- Median home value
- $180,200
Demographics for Johnston County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Smithfield.
Facility Details
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