PlainNursing
CMS Nursing Home Compare · August 2026

Brunswick Cove Nursing Center

1478 River Road, Winnabow, NC 28479

Brunswick Cove Nursing Center, a 175-bed for profit - limited liability company nursing facility in Winnabow, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #314 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9103719894

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2 / 5
Below average · CMS overall · nat'l 3.0
#314 of 415
In-state rank among rated NC homes
4.26
Above average · nurse hrs/day · nat'l 3.86
20
Inspection findings

The verdict

Brunswick Cove Nursing Center, a 175-bed for profit - limited liability company nursing facility in Winnabow, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #314 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

2 / 5
CMS overall · national 3.0
#314 of 415
In-state rank among rated NC homes
4.26
Nurse hrs/resident-day · national 3.86
20
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
345318
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
175
Residents
130
In Hospital
No
County
Brunswick
Last Inspection
Dec 4, 2025

Staffing Data

How the 4.26 total nursing hours per resident-day are staffed:

RN Hours
0.55 (nat'l avg: 0.69)
LPN Hours
1.24
CNA Hours
2.47
Total Nursing Hours
4.26 (nat'l avg: 3.86)
PT Hours
0.07
Nursing Turnover
74.7%
RN Turnover
42.9%

What the CMS Record Reveals About Brunswick Cove Nursing Center

According to CMS Nursing Home Compare, Brunswick Cove Nursing Center ranks #314 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Brunswick Cove Nursing Center operates 175 certified beds in Winnabow, NC with approximately 130 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 3★ · quality 1★).

The inspection file contains 20 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS enforcement records show 9 penalties totaling $71K levied against this facility. Reported nurse staffing runs 4.26 total hours per resident day (national average 3.86); RN hours specifically are 0.55 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Brunswick Cove Nursing Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 74.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

D - Isolated - Minimal harm Feb 20, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Mar 12, 2026

D - Isolated - Minimal harm Dec 4, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 27, 2025

D - Isolated - Minimal harm Dec 4, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2025

D - Isolated - Minimal harm Dec 4, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2025

D - Isolated - Minimal harm Dec 4, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2025

D - Isolated - Minimal harm Dec 4, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 27, 2025

D - Isolated - Minimal harm Dec 4, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 27, 2025

D - Isolated - Minimal harm Jul 25, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 1, 2024

D - Isolated - Minimal harm Jul 25, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 1, 2024

D - Isolated - Minimal harm Jul 25, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Sep 1, 2024

D - Isolated - Minimal harm Jul 25, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Sep 1, 2024

E - Pattern - Minimal harm Jul 25, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 1, 2024

E - Pattern - Minimal harm Jul 25, 2024 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Sep 1, 2024

E - Pattern - Minimal harm Jul 25, 2024 Tag: 0685

Assist a resident in gaining access to vision and hearing services.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 1, 2024

E - Pattern - Minimal harm Jul 25, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 1, 2024

B - Pattern - No harm May 25, 2023 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jun 1, 2023

D - Isolated - Minimal harm May 25, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 6, 2023

D - Isolated - Minimal harm May 25, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 6, 2023

E - Pattern - Minimal harm May 25, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jul 6, 2023

E - Pattern - Minimal harm May 25, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 6, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 29.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 22.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 9.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 91.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 82.1% No

Penalty History 9 penalties totaling $71K

Date Type Amount
Feb 20, 2024 Fine $5K
Feb 12, 2024 Fine $5K
Jan 22, 2024 Fine $15K
Jan 8, 2024 Fine $5K
Jan 2, 2024 Fine $5K
Dec 11, 2023 Fine $14K
Nov 6, 2023 Fine $5K
Oct 30, 2023 Fine $5K
Oct 10, 2023 Fine $14K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Brunswick Cove Nursing Center, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Brunswick Cove Nursing Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 175 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Brunswick Cove Nursing Center?
Brunswick Cove Nursing Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (1★).
Where does Brunswick Cove Nursing Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Brunswick Cove Nursing Center ranks 314th among 415 rated nursing homes in NC (#314 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Brunswick Cove Nursing Center?
Brunswick Cove Nursing Center reports 4.26 total nursing hours per resident day (national average: 3.86). RN hours are 0.55 per resident day (national average: 0.69). Nursing staff turnover is 74.7%.
How many beds does Brunswick Cove Nursing Center have?
Brunswick Cove Nursing Center has 175 certified beds with approximately 130 residents. The facility is located at 1478 River Road, Winnabow, NC 28479.
Does Brunswick Cove Nursing Center have any deficiencies on record?
Yes, Brunswick Cove Nursing Center has 20 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Brunswick Cove Nursing Center received any fines or penalties?
Yes, Brunswick Cove Nursing Center has received 9 penalties totaling $71K.
Who owns Brunswick Cove Nursing Center?
Brunswick Cove Nursing Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Brunswick Cove Nursing Center last inspected?
The most recent health inspection for Brunswick Cove Nursing Center was on Dec 4, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Brunswick Cove Nursing Center?
Brunswick Cove Nursing Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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