Nursing homeActive

Brunswick Cove Nursing Center

1478 River Road, Winnabow, NC 284799103719894175 certified beds · 130 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
20
1190
Penalties · 3 yrs
$70,913
9 fines
Last survey
2026-02-20
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 3
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-20Complaint010CMS-2567 (Care Compare)
2025-12-04Standard060CMS-2567 (Care Compare)
2024-07-25Standard080CMS-2567 (Care Compare)
2023-05-25Standard140CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-20Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-12Record 345318-20260220-F760
2025-12-04Standard survey · 6 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-27Record 345318-20251204-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-27Record 345318-20251204-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-27Record 345318-20251204-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-27Record 345318-20251204-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-27Record 345318-20251204-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-27Record 345318-20251204-F880
2024-07-25Standard survey · 8 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F582
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F656
F685Assist a resident in gaining access to vision and hearing services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F685
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F695
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-01Record 345318-20240725-F758
2023-05-25Standard survey · 5 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345318-20230525-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345318-20230525-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345318-20230525-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345318-20230525-F867
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity BPaperwork
Records
Pattern; potential for minimal harm.Corrected 2023-06-01Record 345318-20230525-F851

Penalties & enforcement

DateActionAmountSource
2024-02-20Civil money penalty$4,938CMS · Penalties
2024-02-12Civil money penalty$4,938CMS · Penalties
2024-01-22Civil money penalty$14,814CMS · Penalties
2024-01-08Civil money penalty$4,938CMS · Penalties
2024-01-02Civil money penalty$4,587CMS · Penalties
2023-12-11Civil money penalty$13,762CMS · Penalties
2023-11-06Civil money penalty$4,587CMS · Penalties
2023-10-30Civil money penalty$4,587CMS · Penalties
2023-10-10Civil money penalty$13,762CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.55
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day4.26
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.79
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover75%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover43%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
5.5%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.0%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
22.9%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.5%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
24.2%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
11.3%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.9%21.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Campbell, Hugh
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Miller, Zachary
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Campbell, Hugh
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Miller, Zachary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.

No county cost figures on file for Brunswick.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Peak Resources-Wilmington, Inc
Wilmington
3.3 mi2026-05-223273
August Healthcare at Wilmington
Wilmington
3.3 mi2025-05-152171
Azalea Health & Rehab Center
Wilmington
3.9 mi2025-05-303182
Cypress Pointe Rehabilitation Center
Wilmington
4.0 mi2026-05-07030
Trinity Grove
Wilmington
6.3 mi2025-09-18254
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01