Brunswick Cove Nursing Center

Name: Brunswick Cove Nursing Center
Address: 1478 River Road, Winnabow, NC, 28479, US
Telephone: 9103719894

1478 River Road, Winnabow, NC 28479 · Brunswick County · 175 certified beds · avg 130 residents/day · certified since May 10, 1990

3/5

Health inspection rating (on-site)

Serious findings on record

$70,913

Fines, last 3 years

4.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 20, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 25, 2024	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint
Jul 25, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jul 25, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 25, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 25, 2023	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 25, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 25, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 25, 2023	B · Minimal risk, repeated	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 6).

Year	Citations	Worst severity that year
2023	5	E
2024	8	E
2025	6	D
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

9 fines totaling $70,913.

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	North Carolina avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.96	4.01	3.95	top 13% in North Carolina; top 14% in the U.S.
Registered Nurse hours	0.65	0.64	0.69	top 32% in North Carolina; top 42% in the U.S.
Weekend total nurse staffing	4.41	3.56	3.50	top 12% in North Carolina; top 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.41	0.48	bottom 41% in North Carolina; bottom 29% in the U.S.
Total nursing staff turnover (%)	74.7	49.0	45.8	bottom 5% in North Carolina; bottom 3% in the U.S.
RN turnover (%)	42.9	45.7	42.9	top 45% in North Carolina; bottom 49% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.26, RN 0.55, weekend 3.79. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Campbell, Hugh	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2007
Miller, Zachary	Individual	5% or Greater Direct Ownership Interest	50%	07/01/2007
Campbell, Hugh	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2007
Miller, Zachary	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2007

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Peak Resources-Wilmington, INC	3.3 mi	Wilmington, NC	★☆☆☆☆	1/5
August Healthcare at Wilmington	3.3 mi	Wilmington, NC	★★☆☆☆	3/5
Azalea Health & Rehab Center	3.9 mi	Wilmington, NC	★★☆☆☆	2/5
Cypress Pointe Rehabilitation Center	4.0 mi	Wilmington, NC	★★★★★	5/5
Trinity Grove	6.3 mi	Wilmington, NC	★★★☆☆	2/5	abuse
Autumn Care of Myrtle Grove	6.5 mi	Wilmington, NC	★☆☆☆☆	1/5	abuse
Liberty Commons Rehabilitation Center	8.3 mi	Wilmington, NC	★★☆☆☆	2/5
Bradley Creek Health Center	8.5 mi	Wilmington, NC	★★★★★	5/5
Northchase Nursing and Rehabilitation Center	10.7 mi	Wilmington, NC	★★☆☆☆	2/5
Davis Health and Wellness Center at Cambridge Vill	11.5 mi	Wilmington, NC	★★☆☆☆	2/5
Davis Health Care Center	14.4 mi	Wilmington, NC	★☆☆☆☆	1/5	abuse
Brunswick Rehabilitation and Healthcare Center	17.6 mi	Bolivia, NC	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Winnabow →

Facility data as of CMS processing date 2026-08-01. CCN 345318.

The Care File

Visit checklist — Brunswick Cove Nursing Center

1478 River Road, Winnabow, NC 28479 · 9103719894

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $70,913

Questions for the administrator:

☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345318 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)