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Nursing HomeMedicaid Investigative

Brunswick Cove Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1478 River Road, Winnabow, NC 28479175 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 57 Google reviews

5
4
3
2
1
Brunswick Cove Nursing Center Nursing Home in Winnabow, NC — Street View
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1/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Above-median deficiencies (6 vs median 4.0)

Above average in NC · Below recommended RN staffing · Above recommended total nurse staffing · $107,024 in fines

Source: Medicare data

What this means for your family

While Brunswick Cove has a dedicated therapy team that many families appreciate for short-term rehab, the facility faces serious, recurring reports of understaffing and neglect. Families should be extremely cautious and are advised to conduct frequent, unannounced visits to ensure their loved one's basic hygiene and medical needs are being met consistently.

Google Reviews

Google Reviews

57 reviews on Google
Brunswick Cove Nursing Center receives highly polarized feedback, with many families praising the dedicated and compassionate nursing and therapy staff, while others report severe concerns regarding neglect, understaffing, and poor communication. While some families feel their loved ones received excellent care and attention, a significant number of reviewers describe a facility that is understaffed, disorganized, and struggling to meet basic hygiene and safety standards.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean3.0Activities6.0Meds2.0Memory4.0Comms3.0ValueN/A

Strengths

  • Dedicated and compassionate nursing staff
  • Effective physical and occupational therapy
  • Attentive administrative leadership
  • Personalized care for long-term residents

Concerns

  • Chronic understaffing leading to neglect (mentioned by 6 reviewers)
  • Poor hygiene and lack of basic patient care (mentioned by 4 reviewers)
  • Inadequate communication and administrative disorganization (mentioned by 3 reviewers)
  • Unsafe medication management or medical errors (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(5)'20(2)'22(12)'24(20)'26(6)

Distribution · 97 analyzed

5
46
4
11
3
3
2
5
1
32

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that you are very active in responding to family feedback online; how do you incorporate that family input into your daily care planning?
  • 2Given that some families have expressed concerns about the consistency of hygiene and basic care, could you walk me through your daily routine for ensuring residents' personal care needs are met?
  • 3With the current staffing levels, what specific protocols do you have in place to ensure that residents receive timely assistance when they press their call lights?
  • 4I see that medication management is a high priority; could you explain the safety checks and oversight in place to prevent errors during the administration process?
  • 5How do you ensure that communication remains transparent and proactive when there is a change in a resident's health status or a shift in their care plan?
  • 6What does a typical day look like for residents in terms of social engagement and activities, especially for those who may need extra support to participate?

Personalized based on this facility's data


Key Review Excerpts

The nursing,Ot, and Pt staff were excellent, caring and very efficient. The dietary staff went above and beyond to try help with my special needs as did the Director of Nursing.

Rehab patient · 2024★★★★

Understaffed and the staff they do have is poorly trained. My family member was there for less than 24 hours in the rehab portion before being given a medication that is unsafe for Parkinson’s patients, and five times the appropriate dose, at that.

Memory care family member · 2026☆☆☆☆

Despite the physical surroundings needing an update and a clear need for more resources, the staff's unwavering commitment to empathetic and patient-centered care is evident.

Long-term resident's family · 2024★★★★★
Source: 57 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.6%
Worse than Avg
Here
31.6%
US
15.3%
NC
20.2%
Brunswick
23.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.2%
Worse than Avg
Here
23.2%
US
15.5%
NC
14.1%
Brunswick
11.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
14.4%
NC
16.4%
Brunswick
16.6%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.1%
Worse than Avg
Here
12.1%
US
5.3%
NC
7.2%
Brunswick
7.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
93.4%
NC
91.7%
Brunswick
93.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.3%
Worse than Avg
Here
24.3%
US
19.4%
NC
21.0%
Brunswick
23.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility87.2%
Better than Avg
Here
87.2%
US
81.8%
NC
80.1%
Brunswick
82.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.1%
Better than Avg
Here
82.1%
US
79.8%
NC
78.1%
Brunswick
80.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.3%
Worse than Avg
Here
3.3%
US
1.6%
NC
1.5%
Brunswick
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
9penalties
Above state avg (5.6)
5 complaint-triggered
$107,024 in fines

Brunswick Cove has concerning patterns with families filing five complaint-triggered reports about safety hazards, medication management, and resident rights violations. The facility shows recurring problems across care planning, quality of life, and building safety issues that persist across multiple surveys from 2022-2025. While all deficiencies report correction dates, the repeated nature of safety and care planning problems warrants careful evaluation during any visit.

Feb 20, 2026Complaint
1
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Dec 4, 2025Routine
5
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 4, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 25, 2024Routine
9
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0685Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Jul 25, 2024Complaint
2
0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Jul 6, 2023Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Fine

Feb 20, 2024

$4,938

Fine

Feb 12, 2024

$4,938

Fine

Jan 22, 2024

$14,814

Fine

Jan 8, 2024

$4,938

Fine

Jan 2, 2024

$4,587

Fine

Dec 11, 2023

$13,762

Fine

Nov 6, 2023

$4,587

Fine

Oct 30, 2023

$4,587

Fine

Oct 10, 2023

$13,762

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brunswick Cove Nursing Center

Organization Type

for profit

Ownership & Management

Owners

Campbell, Hugh

Owner

50%

Miller, Zachary

Owner

50%

Key personnel

Campbell, HughManagerMiller, ZacharyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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