The Landings of Smithfield
Assisted Living, Memory Care & Respite Care · Smithfield, NC

The Landings of Smithfield

Assisted Living, Memory Care & Respite Care · Smithfield, NC
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The Landings of Smithfield accepts Medicaid.

Overview of The Landings of Smithfield

The Landings of Smithfield sits at 200 Kellie Drive in Smithfield, North Carolina. It is licensed for assisted living, and it also runs memory care and respite care on the same campus. For a family watching a parent’s needs shift over time, that combination means one move instead of two or three. Walk Score puts the neighborhood at 65, so some errands are reachable on foot without a car.

The building holds 66 beds; nineteen of them are occupied. A community running at 29% occupancy feels different from a full one, in staffing ratios, in dining room volume, and in the social life available to a resident who wants company.

Nursing services and 24-hour staffing are both in place, so coverage does not thin out overnight. Respite care handles the temporary situations, a caregiver’s surgery or a discharge that needs a bridge. A program called Secured Living supports residents living with memory loss.

Shared spaces run to a library, an entertainment room, and an outdoor common area. Meals are served restaurant-style. Housekeeping, maintenance, and transportation are all managed in house.

Medicaid is accepted here. State inspection attention at this community has centered on medication management and on care planning and documentation. The picture the record gives is a 66-bed community operating far below capacity, covering three care levels under one roof, accepting Medicaid, with regulatory attention focused on medication handling and resident records.

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 66 Rank #182 / 368Bed count — State benchmarkedThis home is ranked 182nd out of 368 homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities. Rank #38 / 508Walk Score — State benchmarkedThis home is ranked 38th out of 508 homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
65 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #198 / 213Occupancy rate — State benchmarkedThis home is ranked 198th out of 213 homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 213. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
28.8% This home usually has availability
Lower than the North Carolina average: 69.5%
Occupied beds
19 / 66

About this community

License Details

StatusActive
CountyJohnston
License NumberHAL-051-065

Safety & Compliance

Secured Perimeter
Emergency SystemsEmergency Alert System
Safety FeaturesAdditional Security Features

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

1 service
Respite Care

Staffing & Medical

2 services
Nursing Services
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Housekeeping
Transportation
Dining
Library
Specific ProgramsSecured Living

Contact The Landings of Smithfield

Inspection History

In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.

Since 2022 · 4 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
40 deficiencies 8 inspections 0 penalties 14 inspections with deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. North Carolina state average
Overall vs. NC average 1 Worse Metrics worse than North Carolina average:
• Inspection deficiency rate (9% above)
3 Better Metrics better than North Carolina average:
• Total deficiencies (13% below)
• Deficiencies per inspection (at NC avg)
• Inspections with deficiencies (58% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 4046 This facility has 13% fewer total deficiencies than a typical North Carolina assisted living residence (40 vs. NC avg 46).↓ 13% better
Deficiencies per inspection Info Average deficiencies per inspection. 5.05.01 This facility has deficiencies per inspection in line with the North Carolina average (5 vs. NC avg 5.01).— At avg

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all inspections conducted at this facility. 821 This facility has had 62% fewer total inspections than the North Carolina average (8 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 62% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 819 This facility has 58% fewer inspections with deficiencies than a typical North Carolina assisted living residence (8 vs. NC avg 19).↓ 58% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 100%92% This facility has 8 percentage points higher inspection deficiency rate than a typical North Carolina assisted living residence (100% vs. NC avg 92%).↑ 8% worse

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
2 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 106th (tied) of 138 homes in North Carolina See full North Carolina ranking
Division Of Health Service Rating
2/4

North Carolina average: 3 stars See full North Carolina ranking

Scores

DHSR Score
86.00 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98 See full North Carolina ranking

Places of interest near The Landings of Smithfield

Address 0.0 miles from city center Info Estimated distance in miles from Smithfield's city center to The Landings of Smithfield's address, calculated via Google Maps.

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Address

Compare Assisted Living around Smithfield

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Brookdale Smithfield
AL
MC
Smithfield
74
Facility 74
NC AVG 70
Rank #157 / 368
Yes
45
Facility 45
NC AVG 35
Rank #178 / 508
-A+
92.50/200
Facility 92.50/200
NC AVG 92.2
Rank #247 / 321
13
92%
Facility 92%
NC AVG 91.8%
Rank #97 / 333
Studio / Suite
The Landings of Smithfield
AL
MC
RC
Smithfield
66
Facility 66
NC AVG 70
Rank #182 / 368
No
65
Facility 65
NC AVG 35
Rank #38 / 508
28.8%
Facility 28.8%
NC AVG 69.5%
Rank #198 / 213
-
86.00/200
Facility 86.00/200
NC AVG 92.2
Rank #279 / 321
8
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 2 on this page. See how we rank facilities

Financial Assistance for
Assisted Living in North Carolina

The Landings of Smithfield is located in Smithfield, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Frequently Asked Questions about The Landings of Smithfield

Is The Landings of Smithfield in a walkable area?

The Landings of Smithfield has a walk score of 65. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of The Landings of Smithfield?

According to NC state health department records, The Landings of Smithfield's license number is HAL-051-065.

What is the occupancy rate at The Landings of Smithfield?

The Landings of Smithfield's occupancy is 28.8%.

Are pets allowed at The Landings of Smithfield?

No, The Landings of Smithfield has a no-pet policy.

How many beds does The Landings of Smithfield have?

The Landings of Smithfield has 66 beds.

Has The Landings of Smithfield had any deficiencies?

The Landings of Smithfield has had 40 reported deficiencies according to records from NC Dept. of Health and Human Services (NCDHHS).

Are there photos of The Landings of Smithfield?

Yes — there are 2 photos of The Landings of Smithfield in the photo gallery on this page.

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