O'Berry Neuro-Medical Treatment Center
400 Old Smithfield Road · Goldsboro, NC · 27533 · 9195814001
144 certified beds Government - State
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
8 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: not rated Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $167,242 |
Inspection citations (28 in the current record)
-
Potential for harm · D October 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Immediate jeopardy · J February 7, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 21, 2025 · Resident Rights
-
Immediate jeopardy · J February 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 21, 2025 · Quality of Life and Care
-
Immediate jeopardy · J February 7, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 24, 2025 · Pharmacy Service
-
Potential for harm · D February 7, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J December 16, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 21, 2025 · Resident Rights
-
Immediate jeopardy · J December 16, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 16, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 7, 2025 · Resident Rights
-
Potential for harm · D December 16, 2024
Ensure each resident receives an accurate assessment.
Corrected January 16, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E December 16, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 7, 2025 · Pharmacy Service
-
Potential for harm · D December 16, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 7, 2025 · Pharmacy Service
-
Potential for harm · D December 16, 2024 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 7, 2025 · Quality of Life and Care
-
Potential for harm · D December 16, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
No harm found · B December 16, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected January 16, 2025 · Resident Rights
-
No harm found · B December 16, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected January 16, 2025 · Resident Rights
-
No harm found · C December 16, 2024
Post nurse staffing information every day.
Corrected January 16, 2025 · Nursing and Physician Services
-
Immediate jeopardy · K April 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K April 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 17, 2024 · Quality of Life and Care
-
Potential for harm · E April 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 21, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 17, 2024 · Administration
-
Immediate jeopardy · K February 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E February 23, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 17, 2024 · Administration
-
Potential for harm · D November 7, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D November 7, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 23, 2024 | Fine | $167,242 |
| February 23, 2024 | Payment Denial | 50 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 34A002 · certified since March 29, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.