Hearth Record

Assisted living in Smithfield

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Filter them by what their records say, and open any one to read it: every fact with its source and date.

10 assisted living facilities in Smithfield, North Carolina.

From the North Carolina Division of Health Service Regulation, Adult Care Licensure Section: Adult Care Home Listing, Family Care Home Listing and Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months. The record lists 1,083 assisted living facilities in North Carolina.

What North Carolina’s list coversLicensed homes only

Adult care homes and family care homes licensed by North Carolina’s Division of Health Service Regulation. Multi-unit assisted housing with services, which the Division registers rather than licenses, isn’t here.

10of 10 assisted living facilitiesshown with your filters

What the words on these cards mean9
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
The state’s most serious level
Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
Not read
The file this site reads doesn’t carry what inspectors found, so nothing is counted here. It doesn’t mean the place has a clean record: the state’s own site may have its reports. Source: How this site reads each source.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
Memory care
Care for people living with dementia. Some states license a separate dementia or Alzheimer’s unit; others ask a facility to say what dementia care it gives. This record uses the state’s own field. Source: Each state’s list.
Accepts Medicaid
The state’s own list says the place takes part in a Medicaid program (a waiver, a contract or a program like Illinois’s supportive living) that can pay for care for people who qualify. Source: Each state’s list.
Not published
The source has no such field for this place. It isn’t a zero, and it isn’t a clean record. Source: How this site reads each source.

The list

Order the list

    Source:

    North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Listing and Family Care Home Listing. Released Jul 30, 2026. Updated monthly.

    North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months. Checked Oct 24, 2026. Updated monthly.

    Side by side

    The same published facts for each, in the same order, in their sources’ words.

    Every line is a fact its source published, in that source’s own words. On a line whose figures can be ordered, the one that leads is marked; that is not a rating, and no line is weighed against another. “Not published” means that state’s file has no such field, which is not the same as a zero.

    How to read a record

    Four things every record does, shown on an example record made up for this guide.

    An example record, made up for this guide

    An example nursing home

    Made up for this guide: no real place is shown

    Not fully inspected in over two years (CMS flag)

    11 health citations at the latest inspection cycle

    The state average is 14.3.

    Source:

    CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

    From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

    1 of 4

    Every fact names its source.

    Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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