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Senior care in Smithfield

Free help comparing assisted living, memory care, nursing and in-home care in Smithfield and the surrounding Johnston County area.

3 verified communities
Johnston County
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Quick answer

Smithfield is in Johnston County. Assisted living and memory care here are licensed as adult care homes by North Carolina's Division of Health Service Regulation.

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Home›Cities›Smithfield

Johnston County's seat and home to UNC Health Johnston's main hospital campus, making it the county's primary hub for senior medical care and skilled nursing facilities.

Short answer

Smithfield is in Johnston County. Senior care here is licensed as an adult care home by North Carolina's Division of Health Service Regulation. We list 3 verified communities in Smithfield, and an advisor can cover the surrounding area at no cost to your family.

Verified communities in Smithfield

Every community below was confirmed against the operator's own published information. We do not list bed counts or license numbers we could not verify, and we do not publish pricing we cannot source.

CommunityCare typeAddressCounty
Brookdale SmithfieldAssisted Living830 Berkshire Road
Smithfield, OH 27577		Johnston
The Landings of SmithfieldAssisted Living200 Kellie Dr
Smithfield, OH 27577		Johnston
Smithfield Manor Nursing and RehabNursing Home902 Berkshire Rd
Smithfield, OH 27577		Johnston
How North Carolina licenses assisted living. NC uses one license type -- 'adult care home' -- under Chapter 131D, with no Type A/B/C tiering. Read the full explanation →
What to ask on a tour. Ask to see the state inspection report, the memory-care disclosure/certification if marketed, the all-in cost at your parent's care level, the three-year rate increase history, and the overnight staffing ratio. Read the full explanation →

Care options in Smithfield

Assisted Living in Smithfield

Help with daily activities in an NC-licensed adult care home, with meals, housekeeping and medication assistance included.

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Memory Care in Smithfield

Secured, dementia-specific care under North Carolina's Special Care Unit disclosure requirement -- not a separate license or certification.

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Nursing Homes in Smithfield

Skilled nursing facilities, licensed separately from adult care homes under NC rules, providing 24-hour licensed nursing care and short-term rehabilitation.

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In-Home Care in Smithfield

Caregivers and skilled clinicians who come to the home, from a few hours a week to around-the-clock support.

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Independent Living in Smithfield

Age-restricted apartments and campuses with dining, activities and light services, for adults who do not need daily hands-on care.

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Hospice Care in Smithfield

Comfort-focused care for a life-limiting illness, delivered at home, in a facility, or in a dedicated inpatient unit.

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Questions families ask

What are the asset limits to qualify for nursing facility Medicaid in North Carolina in 2026?

For 2026, the NC DHHS Aged/Blind/Disabled resource limit for nursing facility Medicaid is $2,000 for a single applicant and $3,000 for a married couple where both spouses need coverage, per NC DHHS's Basic Medicaid Eligibility Requirements. These limits are far lower than the ACA expansion Medicaid category's rules and apply specifically to the long-term-care eligibility pathway.

What's the income limit to qualify for nursing home Medicaid in North Carolina?

NC's general nursing facility Medicaid income cap is approximately $2,982/month, derived by applying the standard rule of 300% of the 2026 SSI federal benefit rate ($994/month) used in NC's aged/blind/disabled long-term-care Medicaid category. This is a derived estimate based on the SSA-published 2026 SSI rate rather than a figure independently confirmed in the current MA-2270 policy manual excerpt, so families should verify the exact current figure with NC Medicaid or a county DSS caseworker before relying on it for planning.

How much money can a nursing home Medicaid resident in North Carolina keep for personal expenses each month?

NC's nursing facility Medicaid Personal Needs Allowance (PNA) is $70 per month for an institutionalized individual, or up to $140/month combined for a married couple sharing a room in the same facility. Nursing facility Medicaid residents generally must apply nearly all of their remaining monthly income toward the cost of care beyond this allowance, per the NC DHHS MA-2270 policy manual.

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