Brunswick Rehabilitation and Healthcare Center
1070 Old Ocean Highway · Bolivia, NC · 28422 · 9107555955
90 certified beds For profit - Limited Liability company Chain: Yad Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
77% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | 1 · $94,140 |
Inspection citations (39 in the current record)
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Potential for harm · D May 5, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 21, 2026 · Resident Rights
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Potential for harm · D May 5, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 5, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 21, 2026 · Quality of Life and Care
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Potential for harm · D May 5, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 21, 2026 · Quality of Life and Care
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Potential for harm · E May 5, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 21, 2026 · Pharmacy Service
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Potential for harm · D May 5, 2026
Ensure that residents are free from significant medication errors.
Corrected May 21, 2026 · Pharmacy Service
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Potential for harm · D May 5, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 5, 2026
Provide and implement an infection prevention and control program.
Corrected May 21, 2026 · Infection Control
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Potential for harm · F May 5, 2026
Implement a program that monitors antibiotic use.
Corrected May 21, 2026 · Infection Control
-
Potential for harm · D March 5, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · E March 5, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D March 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · E March 5, 2025
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.
Corrected April 4, 2025 · Nursing and Physician Services
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Potential for harm · E March 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · D March 5, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · E March 5, 2025
Ensure that residents are free from significant medication errors.
Corrected April 4, 2025 · Pharmacy Service
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Potential for harm · E March 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 4, 2025 · Nutrition and Dietary
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Potential for harm · D March 5, 2025
Provide or get specialized rehabilitative services as required for a resident.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · E March 5, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 4, 2025 · Administration
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Potential for harm · E March 5, 2025
Provide and implement an infection prevention and control program.
Corrected April 4, 2025 · Infection Control
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Potential for harm · E March 5, 2025 · found via complaint
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.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · D March 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 5, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · E March 5, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 4, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 11, 2023 | Fine | $94,140 |
| December 11, 2023 | Payment Denial | 34 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345549 · certified since January 6, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.