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Nursing HomeMedicaid Investigative

Brunswick Rehabilitation and Healthcare Center

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

1070 Old Ocean Highway, Bolivia, NC 2842290 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 43 Google reviews

5
4
3
2
1
Brunswick Rehabilitation and Healthcare Center Nursing Home in Bolivia, NC — Street View
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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (17 vs median 4.0)
  • High staff turnover (72%)
  • High RN turnover (88%)

Bottom 25% in NC · Below recommended RN staffing · Very high staff turnover · Worst in YAD HEALTHCARE chain · $109,733 in fines

Source: Medicare data

What this means for your family

This facility offers a strong rehabilitation and activity program, which many residents find beneficial for recovery. However, the recurring reports of staffing shortages and communication failures are significant red flags; we strongly recommend visiting during off-hours and speaking directly with the nursing management about their specific protocols for patient monitoring.

Google Reviews

Google Reviews

43 reviews on Google
Brunswick Rehabilitation and Healthcare Center receives highly polarized feedback, with some families praising the dedicated therapy team and compassionate nursing staff, while others report severe concerns regarding neglect, poor hygiene, and understaffing. While recent positive reviews highlight improvements in therapy and activities, recurring reports of delayed response times and lack of communication suggest significant inconsistency in the quality of care.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities9.0Meds2.0Memory5.0Comms3.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Engaging activity programs
  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility environment

Concerns

  • Severe understaffing and slow response to call bells (mentioned by 6 reviewers)
  • Poor communication between staff and family members (mentioned by 4 reviewers)
  • Substandard food quality and meal service issues (mentioned by 3 reviewers)
  • Neglect regarding hygiene and patient health monitoring (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(5)'18(1)'20(2)'23(4)'25(18)'26(6)

Distribution · 49 analyzed

5
32
4
3
3
0
2
0
1
14

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback from families; how do you typically keep family members updated on changes in a resident's daily care or health?
  • 2We've heard great things about your therapy programs, so could you tell us more about how the physical and occupational therapy sessions are integrated into a resident's weekly routine?
  • 3What are some of the favorite group activities or social programs that keep the residents engaged and connected with each other?
  • 4With the focus on rehabilitation here, what specific protocols are in place to ensure medication is administered accurately and on schedule?
  • 5How does the nursing team manage call bells during the night shifts to ensure residents receive timely assistance with their needs?
  • 6Could you describe the meal service process and how you ensure the dining experience is both nutritious and enjoyable for the residents?

Personalized based on this facility's data


Key Review Excerpts

The staff here are very nice, helpful, and accommodating. Remember to treat others as you wish to be treated and you're golden. They administer PT according to you issue and progress, so it's motivating.

Rehab patient · 2025★★★★

The staff is always helpful and my husband's nurses are angels. They definitely found a calling, not a job. All the time I observe the compassion these nurses have for all the residents in his unit.

Memory care family member · 2025★★★★★

The admin are friendly but do not hold nursing staff or nursing managers accountable. No one is on the same page no one knows anything when questions are asked. They WILL NOT CALL if something is wrong

Family member · 2025☆☆☆☆
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
46%
Registered nurses for medical care
Total Nursing
3.42hrs
83%
All nurses + aides combined
Staff Turnover
77%
Lower is better (< 30% = good)
RN Turnover
83%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
15.3%
NC
20.2%
Brunswick
23.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.7%
Worse than Avg
Here
19.7%
US
12.1%
NC
5.4%
Brunswick
7.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility16.7%
Worse than Avg
Here
16.7%
US
5.3%
NC
7.2%
Brunswick
6.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.3%
Worse than Avg
Here
27.3%
US
19.5%
NC
21.5%
Brunswick
22.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
NC
91.7%
Brunswick
92.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
19.4%
NC
21.0%
Brunswick
23.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
NC
78.1%
Brunswick
76.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
81.8%
NC
80.1%
Brunswick
80.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
NC
1.5%
Brunswick
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Well above state avg (5.6)
16 complaint-triggered
$109,733 in fines

This facility shows concerning patterns with 16 complaint-triggered deficiencies indicating families have filed reports about care issues. The most recurring problems involve daily care assistance, medication management, and nursing staffing shortfalls. While the facility corrects deficiencies when cited, issues persist across multiple years, including recent abuse/neglect violations in December 2023 and March 2025, suggesting ongoing systemic challenges with resident protection and care quality.

May 5, 2026Routine
9
0881Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 5, 2025Routine
13
0580Potential for harm · PatternCorrected

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.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 5, 2025Complaint
5
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Sep 5, 2024Complaint
3
0342Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Mar 27, 2024Routine
7
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 27, 2024Complaint
1
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Fine

Dec 11, 2023

$94,140

Payment Denial

Dec 11, 2023

34-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Brunswick Rehabilitation and Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Yad Healthcare

Chain Size

13 facilities nationwide

Chain avg rating: 1.8/5 · Rank 10 of 12 (Worst)

Ownership & Management

Owners

Brunswick Holdings I LLC

Owner · Organization

100%

West Nc Holdings LLC

Owner (parent company) · Organization

Alter, Tzvi

Owner (parent company)

Key personnel

Lellock, TyManager1070 Old Ocean Highway, LLCAdp of the SnfLellock, TyAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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