Brunswick Cove Nursing Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

46.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 114 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 74 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 175 beds and averages 129.6 residents a day — about 74% occupied, or roughly 45 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.26 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.555 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.47 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.79 hrs/resident/day on weekends vs 4.46 on weekdays — 15% thinner on weekends. RN hours go from 0.66 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 75% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · D2026-02-20 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews with the staff, Consultant Pharmacist, Nurse Practitioner (NP), and Medical Director, the facility failed to prevent a significant medication error when Nurse #1 administered Resident #2 Haldol (an antipsychotic medication used to treat severe behavioral issues) IM (intramuscular) (delivered via injection) 20 milligrams (mg) instead of the ordered 2 mg. This deficient practice affected 1 of 3 residents reviewed for significant medication errors. The findings included: Hospital records indicated Resident #2 had been admitted from 2/3/26 through 2/9/26 for hip pain following a fall. His principal discharge diagnosis was failure to thrive in an adult. The hospital records also indicated he had active problems that included recurrent falls, severe protein-calorie malnutrition, benign paroxysmal positional vertigo (dizziness) and Parkinson's disease. Resident #2 was discharged from the hospital with recommendations to continue the following psychotropic medications (medications…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, staff and physician and pharmacist technician specialist interviews, the facility failed to obtain an order to flush a percutaneous intravenous central catheter (PICC) with normal saline and heparin (blood thinning agent) flushes for 1 of 1 resident (Resident #129) reviewed for intravenous (IV) antibiotics. Findings included: Resident #129 was admitted to the facility on [DATE]. Diagnoses included diabetic foot ulcer, pain, osteomyelitis (bone infection), and left toes amputations. The Minimum Data Set 5 day assessment dated [DATE] revealed Resident #129 was moderately cognitively impaired and had impairment to one side to his lower extremity. Resident #129 was assessed as having a pressure ulcer and a surgical wound and was receiving intravenous (IV) medications. A physician's order written on 11/19/25 to monitor double lumen PICC dressing to right upper extremity to ensure the dressing was clean, dry and intact every shift for infection prevention. A physician's order…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and resident, staff, Nurse Practitioner, and Wound Physician interviews, the facility failed to provide treatment for surgical wound as specified in the hospital discharge summary (Resident #48) and failed to offload a neck/shoulder contracture as ordered (Resident #6). This was for 2 of 3 residents reviewed for skin integrity (Resident #48 and Resident #6). Findings included: 1) Review of the hospital discharge summary orders dated 11/18/25 revealed Resident #48 was status post (recent past event) a left total hip replacement with surgical incision to left hip. The physician order sheet indicated Per facility guidelines Aquacel protocol, change every 5-7 days or as needed. Aquacel is wound care dressing that absorbs and locks in drainage and bacteria. Resident #48 was admitted to the facility on [DATE]. Diagnoses included osteoarthritis of hip and left hip replacement. The Minimum Data Set admission assessment dated [DATE] revealed Resident #48 was moderately cognitively impaired and was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff and Wound Physician interviews, the facility failed to follow a physician order for a wound treatment for 1 of 3 residents (Resident #16) observed for pressure ulcers.Findings included: Resident #16 was admitted to the facility on [DATE]. Diagnoses included quadriplegia, wedge compression fracture of third thoracic vertebra and chronic pain. The Minimum Data Set quarterly assessment dated [DATE] revealed Resident #16's cognition was intact. He had impairments on both sides to upper and lower extremities and was coded as having a stage 3 pressure ulcer and one unstageable ulcer (deep tissue injury) not present on admission during this assessment. Review of Resident #16's care plan updated on 11/14/25 revealed a plan of care was in place for actual impairments to skin integrity related to quadriplegia with a goal that wounds will show improvement by the next review date. Interventions included in part, monitor/document location, size and treatment of skin injury.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and resident, staff and Nurse Practitioner (NP) interviews, the facility failed to provide supervision and ensure a smoking apron was worn for 1 of 1 resident identified as requiring supervision with smoking reviewed for smoking (Resident #99).Resident #99 was admitted into the facility on 9/30/20 with diagnoses of nontraumatic subdural hemorrhage (bleeding between the brain and its tough outer covering), syncope (a temporary loss of consciousness) and collapse (fall). A diagnosis of narcolepsy (a chronic condition where the brain cannot regulate sleep-wake cycles, causing overwhelming daytime sleepiness and sudden sleep during activities) was added on 12/9/22.Resident #99's quarterly Minimum Data Set, dated [DATE] revealed she was cognitively intact and had no impairment of her upper extremities.A review of Resident #99's smoking assessment dated [DATE], completed by the Social Service Assistant, determined Resident #99 was safe to smoke without supervision.A review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and staff and Nurse Practitioner interviews, the facility failed to administer oxygen at the prescribed rate for 1 of 4 residents reviewed for respiratory care (Resident #72). The findings included:Resident #72 was admitted to the facility on [DATE]. His diagnoses included hypertension, and chronic obstructive pulmonary disease (COPD).A physician order dated 2/22/24 indicated administer oxygen via nasal cannula at 2 liters per minute continuously.Resident #72's care plan had a care focus area initiated on 2/24/24 that indicated Resident #72 was at risk for shortness of breath related to COPD and chronic respiratory failure. Interventions included administering oxygen via nasal cannula as ordered.A quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #72 was severely cognitively impaired. His diagnoses included chronic obstructive pulmonary disease. He was coded for shortness of breath or trouble breathing with exertion and when lying flat.During…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff interviews, the facility failed to follow their infection control policy and procedures for Enhanced Barrier Precautions (EBP) during high contact care for a resident (Resident #105) with a pressure ulcer wound when the Wound Treatment Nurse was providing resident care without wearing the required personal protective equipment (PPE) for 1 of 4 staff observed for infection control. Findings included: The facility policy dated 07/26/22 titled, Enhanced Barrier Precautions an infection control intervention designed to reduce the transmission of multi-drug resistant organisms. It employs targeted personal protective equipment (PPE) use during high contact resident activities to include, in part, dressing, bathing, providing hygiene, changing linens or briefs. High contact residents included, in part, wound care; any skin opening requiring a dressing, and enteral feeding tubes. An observation of Resident #105's doorway to her room revealed a small magnetic banner at the entrance of the resident's room on the door frame that had the letters…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-25 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessments accurately in the areas of medication, dental and continence for 4 of 30 residents whose MDS assessments were reviewed (Resident # 283, Resident #99, Resident #76 and Resident #115). Findings included: 1. Resident # 283 was admitted on [DATE] with diagnosis which included major depressive disorder. Review of Resident #283's physician orders revealed an order dated 12/19/23 for Aripiprazole 5 milligrams (mg). Give 1 tablet by mouth every 12 hours related to major depressive disorder. Review of Resident #283's December 2023 electronic Medication Administration Record revealed resident received Aripiprazole 5 mg 1 tablet every 12 hours related to major depressive disorder. Review of Resident #283's admission Minimum Data Set (MDS) dated [DATE] revealed resident was cognitively intact and had no behaviors. The MDS indicated Resident #283 received an antipsychotic medication, an antidepressant and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-25 · tag F0685 — pattern
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff, Nurse Practitioner and Physician interviews, the facility failed to ensure a resident had an ophthalmology appointment scheduled as ordered on 1/11/24, 2/13/24 and 3/26/24 resulting in the resident not seen until 4/19/24 and failed to obtain the retinol specialist appointment recommended by the ophthalmologist for 1 of 1 resident (Resident #101) reviewed for vision. Findings included: Resident #101 was admitted on [DATE] with diagnoses which included post traumatic brain injury and Parkinson's Disease. Resident #101's electronic health record revealed a Nurse Practitioner progress note dated 1/11/24 which indicated resident had a visual disturbance and the note indicated the resident needed to see an ophthalmologist. Resident #101's electronic health record revealed a physician order entered by Nurse #8 dated 1/11/24 for ophthalmology consult for visual disturbances of the left eye with history of cataract about 10 years ago. An interview was conducted with Nurse #8 on 7/25/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-25 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews and Consultant Pharmacist interview the facility failed to ensure the facility staff reviewed pharmacy recommendations and documented any action taken or a rationale for no action taken on the pharmacy request for 1 of 5 residents reviewed for drug regimen review (Resident #115). The findings included: Resident #115 was admitted to the facility on [DATE] with diagnoses that included depression, dementia and agitation. A review of the physician's orders revealed Resident #115 received olanzapine (antipsychotic medication) 10 milligrams (mg) at bedtime since 3/11/24 for psychotic disturbance with mood disturbance and anxiety. A review of the electronic medical record revealed there was no AIMS (Abnormal Involuntary Movement Scale) completed. Resident #115's most recent Minimum Data Set (MDS) assessment dated [DATE], a quarterly assessment, revealed Resident #115 was assessed as having severe cognitive impairment. He received antipsychotic and antianxiety medication during…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$70,913 in federal fines across 9 penalties.

• $4,938 — penalty dated 2024-02-20
• $4,938 — penalty dated 2024-02-12
• $14,814 — penalty dated 2024-01-22
• $4,938 — penalty dated 2024-01-08
• $4,587 — penalty dated 2024-01-02
• $13,762 — penalty dated 2023-12-11
• $4,587 — penalty dated 2023-11-06
• $4,587 — penalty dated 2023-10-30
• $13,762 — penalty dated 2023-10-10

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC