Smithfield Manor Rehabilitation and Healthcare Cen

902 Berkshire Road · Smithfield, NC · 27577 · 9199343171

160 certified beds For profit - Corporation Chain: Venza Care Management

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $21,132 in fines in the last 24 months.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 42
Staffing 20% 60
Federal penalties 15% 28
Trend 10% 72
Context 5% 100

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: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.463.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day3.03≈ weekday level
Nursing turnover / year57%median 45%
Fines (3-yr window)3 · $263,607

Inspection citations (18 in the current record)

  • Potential for harm · E April 23, 2026 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 20, 2026 · Resident Rights

  • Potential for harm · D April 23, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected May 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 23, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 20, 2026 · Quality of Life and Care

  • Potential for harm · D April 23, 2026 · found via complaint

    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 May 20, 2026 · Pharmacy Service

  • Potential for harm · E April 23, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 20, 2026 · Nutrition and Dietary

  • Actual harm · G November 4, 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 September 12, 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

  • Potential for harm · E January 24, 2025

    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 10, 2025 · Resident Rights

  • Potential for harm · E January 24, 2025

    Ensure each resident receives an accurate assessment.

    Corrected February 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 24, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 24, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 10, 2025 · Quality of Life and Care

  • Potential for harm · D January 24, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 10, 2025 · Quality of Life and Care

  • Potential for harm · D January 24, 2025

    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 10, 2025 · Pharmacy Service

  • Immediate jeopardy · J April 19, 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 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J April 19, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected May 9, 2024 · Quality of Life and Care

  • Potential for harm · D September 28, 2023

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected October 20, 2023 · Quality of Life and Care

  • Potential for harm · D March 31, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 18, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D March 31, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 18, 2022 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
September 12, 2025Fine$16,985
February 26, 2025Fine$4,147
April 19, 2024Fine$242,475

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345175 · certified since December 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.