What is Barbour Court Nursing and Rehabilitation Center's Medicare star rating?

CMS rates Barbour Court Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

Has Barbour Court Nursing and Rehabilitation Center been fined?

CMS lists no fines in the last three years.

Does Barbour Court Nursing and Rehabilitation Center accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Barbour Court Nursing and Rehabilitation Center?

CMS lists 11 owners and managers, and links the home to Principle Long Term Care. Legal business name: BIRCH LTC GROUP, LLC.

Barbour Court Nursing and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on February 26, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 14 health citations since September 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.15 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.

33.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Principle Long Term Care, an affiliated group of 40 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

609/23

511/24

302/26

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10D

Potential for minimal harm

February 26, 2026Standard inspection · 3 citations

E

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 19, 2026

Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of medications (Resident #8, Resident #4, and Resident #5) and Pneumococcal Vaccine (Resident #18). This was for 4 of 28 residents whose MDS assessments were reviewed.
D

Ensure that residents are free from significant medication errors.

F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 19, 2026

Inspectors wroteBased on observations, record review, and interviews with staff and the Nurse Practitioner (NP), the facility failed to ensure the resident's need for insulin (a hormone that regulates blood sugar levels) administration in accordance with the parameters provided by the physician before administering the insulin. This deficient practice affected 1 of 5 residents (Resident #8) reviewed for unnecessary medications.
C

Ensure residents have reasonable access to and privacy in their use of communication methods.

F576 · Resident Rights · No actual harm, potential for minimal harm, widespread · no revisit needed March 19, 2026

Inspectors wroteBased on record review and interviews with residents and staff, the facility failed to ensure the residents' right to receive mail delivered on Saturdays and on the date it was received. This had the potential to affect 136 of 136 residents in the facility.

November 15, 2024Standard inspection, Complaint inspection · 5 citations

E

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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 7, 2024

Inspectors wroteb. Review of Resident #18's medical record revealed the Resident was readmitted to the facility on [DATE] with diagnoses that included dementia, Parkinson's disease, and cardiovascular disease. The review revealed a full code status was care planned on 5/20/23. There was no documentation in the record for education regarding a formulation of an advance directive and/or an opportunity to formulate an advance directive was offered. c. Review of Resident #51's medical record revealed the Resident was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease, dementia, and hypertension. The review revealed a full code Physician order dated 11/5/24. There was no documentation in the record for education regarding a formulation of an advance directive and/or an opportunity to formulate an advance directive was offered. d. [...]
E

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 7, 2024

Inspectors wrote2. Resident #100 was admitted to the facility on [DATE]. A review of Resident #100's care plan revealed it was last updated on 10/6/24. A review of Resident #100's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he was moderately cognitively impaired. On 11/12/24 at 1:35 PM an interview with Resident #100 indicated he did not recall ever being invited to attend a care plan meeting. He stated he would like to be invited to attend. On 11/13/24 a review of Resident #100's medical record did not reveal any documentation that a care plan meeting was conducted since Resident #100's admission to the facility. On 11/13/24 at 11:03 AM an interview with MDS Nurse #1 indicated Resident #100's Social Worker (SW) was responsible for sending the invitations and for arranging Resident #100's care plan meetings. [...]
D

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

F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record review and resident, staff, and Medical Director interviews the facility failed to protect a resident's right to be free from the misappropriation of controlled medication for 1 of 2 residents (Resident #40) reviewed for misappropriation.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 7, 2024

Inspectors wroteBased on observations, record review, resident and staff interviews the facility failed to provide nail care for a dependent resident for 1 of 7 residents reviewed for activities of daily living (ADL) (Resident #18).
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2024

Inspectors wroteBased on observations and staff interviews the facility failed to discard expired medication that remained on the medication cart available for use. This was for 1 of 4 medication carts (Upper 300 Hall) reviewed for medication storage.

September 1, 2023Standard inspection, Complaint inspection · 6 citations

D

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.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023

Inspectors wroteBased on record review and staff interviews the facility failed to ensure advanced directive information matched throughout the medical record for 1 of 1 resident (Resident #67) reviewed for advanced directives.
D

PASARR screening for Mental disorders or Intellectual Disabilities

F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023

Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a resident with a mental disorder had received a Preadmission Screening and Resident Review (PASRR) prior to admission to the facility for 1 of 4 residents reviewed for PASRR (Resident #100).
D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 28, 2023

Inspectors wroteBased on record review and staff interviews, the facility failed to develop and implement an individualized person-centered baseline care plan that included the use of an indwelling urinary catheter for elimination for 1 of 2 residents reviewed for urinary catheters (Resident #240).
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023

Inspectors wroteBased on record review, observations and staff interviews, the facility failed to discard a resident's unlabeled opened Humalog insulin vial from 1 of 3 medication storage rooms observed (Specialized Programming for Alzheimer's Related Care [SPARC] unit).
D

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 28, 2023

Inspectors wroteBased on record review, observations, resident interivew and staff interviews, the facility failed to honor food preferences for 1 of 2 residents reviewed for food preferences (Resident #100).
D

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 28, 2023

Inspectors wroteBased on record review, observations, resident interview and staff interviews, the facility's Quality Assessment and Assurance Committee failed to maintain implemented procedures and monitor interventions that the committee had previously put in place following the recertification and complaint survey of 4/8/2022. This was for two recited deficiencies on the current recertification and complaint investigation survey of 9/01/23. The deficiencies included Baseline Care Plan (F655) and Resident Allergies, Preferences and Substitutes (F806). The continued failure during two federal surveys of record showed a pattern of the facility's inability to sustain an effective Quality Assurance Program.

Fire safety inspections

7 fire safety citations on file: 3 on February 26, 2026, 1 on November 15, 2024, 3 on September 1, 2023.

Every fire safety citation7 citations

D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · February 26, 2026 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 26, 2026 · Corrected (the home has a date of correction)
D
Have restrictions on the use of portable space heaters.

K 781 · February 26, 2026 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · November 15, 2024 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · September 1, 2023 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · September 1, 2023 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · September 1, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	North Carolina	United States
All nursing staff (RN, LPN and aides)	3.15	3.85	3.86
Registered nurses	0.53	0.62	0.69
All nursing staff on weekends	2.95	3.42	3.42
Nurse aides	1.74
Licensed practical nurses	0.88
Nursing staff turnover (share who left in a year)	33.0%	49.0%	45.8%
Registered nurse turnover	25.0%	45.6%	42.9%
Administrators who left	3

CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.23 on weekdays and 2.95 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.15 in April to June 2025 to 3.15 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.15	0.53	3.23	2.95	0.0%	0 of 90	137
Oct to Dec 2025	3.31	0.48	3.43	3.00	0.0%	0 of 92	134
Jul to Sep 2025	3.24	0.45	3.34	2.97	0.0%	0 of 92	135
Apr to Jun 2025	3.15	0.47	3.27	2.84	0.0%	0 of 91	135
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
North Carolina, Jan to Mar 2026	3.65	0.53	3.82	3.25	8.0%	0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	North Carolina	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	14.4	15.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.6	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.2	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.9	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	15.4	18.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.2	5.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	18.8	14.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	27.7	22.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	16.1	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.2	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.9	1.8	1.8

Owners and operators

Legal business name: BIRCH LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.

Name	Role	Type	Since
Principle Long Term Care, Inc.	Direct ownership interest	Organization	01/01/2011
Cunningham, James	Corporate director	Individual	10/31/2014
Johnson, Dianne	Corporate director	Individual	01/01/2011
Boice, Gale	Corporate officer	Individual	03/05/2018
Johnson, Dianne	Corporate officer	Individual	01/01/2011
Principle It Services, Inc.	Operational/managerial control	Organization	01/01/2011
Principle Long Term Care, Inc.	Operational/managerial control	Organization	01/01/2011
Cunningham, James	Operational/managerial control	Individual	10/31/2014
Johnson, Dianne	Operational/managerial control	Individual	01/01/2011
Principle It Services, Inc.	Adp of the SNF	Organization	04/08/2025
Principle Long Term Care, Inc.	Adp of the SNF	Organization	04/08/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 26, 2026: "Ensure each resident receives an accurate assessment."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Ensure that residents are free from significant medication errors."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Ensure residents have reasonable access to and privacy in their use of communication methods."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 15, 2024: "Protect each resident from the wrongful use of the resident's belongings or money."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the North Carolina average of 3.42.
How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

Other nursing homes nearby

Smithfield Manor Rehabilitation and Healthcare Cen
Smithfield, 2.4 mi · 1 of 5 stars · 23 citations
Springbrook Nursing and Rehabilitation Center
Clayton, 8.2 mi · 3 of 5 stars · 28 citations
Clayton Rehabilitation and Healthcare Center
Clayton, 9.2 mi · 1 of 5 stars · 38 citations
Liberty Commons Nursing & Rehabilitation Center of
Benson, 14 mi · 2 of 5 stars · 37 citations
Bellarose Nursing and Rehab
Garner, 16.3 mi · 5 of 5 stars · 2 citations
Wellington Rehabilitation and Healthcare
Knightdale, 18.4 mi · 1 of 5 stars · 24 citations
The Laurels of Forest Glenn
Garner, 18.8 mi · 2 of 5 stars · 12 citations
Zebulon Rehabilitation Center
Zebulon, 19.5 mi · 4 of 5 stars · 11 citations

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.

Common questions

What is Barbour Court Nursing and Rehabilitation Center's Medicare star rating?: CMS rates Barbour Court Nursing and Rehabilitation Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Barbour Court Nursing and Rehabilitation Center get at its last inspection?: 3 health deficiencies at the standard inspection on February 26, 2026. The North Carolina average is 4.7.
Has Barbour Court Nursing and Rehabilitation Center been fined?: CMS lists no fines in the last three years.
Does Barbour Court Nursing and Rehabilitation Center accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Barbour Court Nursing and Rehabilitation Center?: CMS lists 11 owners and managers, and links the home to Principle Long Term Care. Legal business name: BIRCH LTC GROUP, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.