Nursing HomeInspections

Brunswick Cove Nursing Center

Nursing home in Winnabow, NC

Medicare & Medicaid certified2★ overall (CMS)

Call (910) 371-9894Send a messageMap ↗

Public-record details

Address
1478 River Road, Winnabow, NC 28479
Phone
(910) 371-9894
Listed under
For-profit
Medicare CCN
345318
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
1 of 5
Certified beds
175
Average residents per day
130
Ownership
For-profit, limited Liability company
Legal business name
Brunswick Cove Living Center, LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 10, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345318. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 4, 2025. CMS lists 20 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 25, 2023 to Feb 20, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 20, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 4, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Jul 25, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 25, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 25, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 25, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 25, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 20. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 9 fines totalling $70,913 in the last three years.

Feb 20, 2024Fine: $4,938
Feb 12, 2024Fine: $4,938
Jan 22, 2024Fine: $14,814
Jan 8, 2024Fine: $4,938
Jan 2, 2024Fine: $4,587
Dec 11, 2023Fine: $13,762
Nov 6, 2023Fine: $4,587
Oct 30, 2023Fine: $4,587
Oct 10, 2023Fine: $13,762

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.26 hours
Registered nurse (RN) time per resident per day
0.55 hours
Nurse aide time per resident per day
2.47 hours
Total nurse staffing on weekends
3.79 hours
Nursing staff turnover (yearly)
75%
RN turnover (yearly)
43%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.