Brunswick Cove Nursing Center
1478 River Road · Winnabow, NC · 28479 · 9103719894
175 certified beds For profit - Limited Liability company
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
82% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | 82% | median 45% |
| Fines (3-yr window) | 9 · $70,913 |
Inspection citations (21 in the current record)
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Potential for harm · D February 20, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 12, 2026 · Pharmacy Service
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Potential for harm · D December 4, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 4, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 27, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 27, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 27, 2025 · Quality of Life and Care
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Potential for harm · D December 4, 2025
Provide and implement an infection prevention and control program.
Corrected December 27, 2025 · Infection Control
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Potential for harm · D December 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 27, 2025 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 1, 2024 · Resident Rights
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Potential for harm · E July 25, 2024
Ensure each resident receives an accurate assessment.
Corrected September 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 25, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected September 1, 2024 · Quality of Life and Care
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Potential for harm · D July 25, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 1, 2024 · Quality of Life and Care
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Potential for harm · E July 25, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 1, 2024 · Pharmacy Service
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Potential for harm · D July 25, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 1, 2024 · Resident Rights
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Potential for harm · E July 25, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 1, 2024 · Pharmacy Service
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Potential for harm · D July 6, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 10, 2023 · Resident Rights
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Potential for harm · D May 25, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 25, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 6, 2023 · Quality of Life and Care
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Potential for harm · E May 25, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 6, 2023 · Nutrition and Dietary
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Potential for harm · E May 25, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected July 6, 2023 · Administration
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No harm found · B May 25, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected June 1, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2024 | Fine | $4,938 |
| February 12, 2024 | Fine | $4,938 |
| January 22, 2024 | Fine | $14,814 |
| January 8, 2024 | Fine | $4,938 |
| January 2, 2024 | Fine | $4,587 |
| December 11, 2023 | Fine | $13,762 |
| November 6, 2023 | Fine | $4,587 |
| October 30, 2023 | Fine | $4,587 |
| October 10, 2023 | Fine | $13,762 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345318 · certified since May 10, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.