North Carolina › Brunswick County › Winnabow
Brunswick Cove Nursing Center
1478 River Road, Winnabow, NC 28479
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 175 beds, Brunswick Cove Nursing Center serves Winnabow in Brunswick County, North Carolina and has taken Medicare and Medicaid residents since 1990.
CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 3, staffing 3 and quality measures 1.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (7, 8, 5 by cycle, most recent first), none at the actual-harm level. That is 11.4 per 100 beds, fewer than the state median of 15.6.
CMS lists 9 penalties in the period covered: fines totalling $71K.
Reported nurse staffing is 4.3 hours per resident per day (0.6 RN), close to the North Carolina median of 3.5; nursing staff turnover is 74.7%.
Compared with county, state and nation
| Measure | This facility | Brunswick Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 31 | 16 | 28.7 |
| Citations per 100 beds | 11.4 | 31.3 | 15.6 | 26.8 |
| Total nurse hours per resident day | 4.3 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 74.7% | 74.7% | 48.6% | 45.8% |
| Fines listed | $70,913 | $70,913 | $8,512 | — |
County and state figures are medians across facilities (5 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 25 Jul 2024.
Severity mix: D ×13 E ×6 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 12 Mar 2026 |
| 4 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Dec 2025 |
| 4 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Dec 2025 |
| 4 Dec 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 27 Dec 2025 |
| 4 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Dec 2025 |
| 4 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Dec 2025 |
| 4 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Dec 2025 |
| 25 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Sep 2024 |
| 25 Jul 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 1 Sep 2024 |
| 25 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 1 Sep 2024 |
| 25 Jul 2024 | F0758 | 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. | E | Complaint investigation | 1 Sep 2024 |
| 25 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 1 Sep 2024 |
| 25 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Sep 2024 |
| 25 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Sep 2024 |
| 25 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Sep 2024 |
| 25 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Jul 2023 |
| 25 May 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 6 Jul 2023 |
| 25 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Jul 2023 |
| 25 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Jul 2023 |
| 25 May 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | B | Standard survey | 1 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Feb 2024 | Fine | $4,938 | |
| 12 Feb 2024 | Fine | $4,938 | |
| 22 Jan 2024 | Fine | $14,814 | |
| 8 Jan 2024 | Fine | $4,938 | |
| 2 Jan 2024 | Fine | $4,587 | |
| 11 Dec 2023 | Fine | $13,762 | |
| 6 Nov 2023 | Fine | $4,587 | |
| 30 Oct 2023 | Fine | $4,587 | |
| 10 Oct 2023 | Fine | $13,762 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 74.7%, RNs 42.9%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.2% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 29.2% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.5% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.9% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Brunswick Cove Living Center, Llc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Brunswick County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Liberty Commons Nursing & Rehab Center of Southpor | Southport | 99 | 3 | 3 | 3 | 31 | 31.3 | — | 19 Nov 2025 |
| Autumn Care of Shallotte | Shallotte | 100 | 2 | 2 | 4 | 25 | 25.0 | $26K | 14 May 2026 |
| Brunswick Health & Rehab Center | Ash | 100 | 1 | 1 | 3 | 32 | 32.0 | $230K | 9 Apr 2026 |
| Brunswick Rehabilitation and Healthcare Center | Bolivia | 90 | 1 | 1 | 2 | 38 | 42.2 | $94K | 5 May 2026 |
All 5 facilities in Brunswick County
Questions and answers
How many deficiencies has Brunswick Cove Nursing Center been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Brunswick Cove Nursing Center been fined?
Yes. CMS lists fines totalling $71K in the period covered.
How does staffing at Brunswick Cove Nursing Center compare?
Reported total nurse staffing is 4.3 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Brunswick Cove Nursing Center?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Brunswick Cove Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 20 Feb 2026; the most recent standard health survey was 4 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.