Nursing home
Brunswick Cove Nursing Center
1478 River Road, Winnabow, NC 28479 · Map
For profit - Limited Liability company · 175 certified beds
Brunswick Cove Nursing Center is a Medicare-certified nursing home in Winnabow, North Carolina. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.21 hours per resident per day, above the North Carolina average of 3.78. Its most recent inspection on Dec 4, 2025 cited 6 deficiencies.
- 15 fines totaling $107,024In CMS records: 15 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Brunswick Cove Nursing Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.21 | 3.78 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.55 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.71 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | —% | 50.4% | 46.4% | — |
| Deficiencies cited, last inspection | 6.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 20, 2026 inspection was corrected by March 12, 2026
Penalties in CMS records: 15 fines totaling $107,024, 15 total penalties.
What inspectors found at Brunswick Cove Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jul 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1478 River Road
Winnabow, NC 28479 - CMS certification #
- 345318
- Ownership
- For profit - Limited Liability company
- Certified beds
- 175
- Avg residents/day
- 121.7
- Provider type
- Medicare and Medicaid
- First certified
- 1990-05-10
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Brunswick Cove Nursing Center using Google Maps.
Other public records
- Emergency In hurricane evacuation Zone C
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Novant Health New Hanover Regional Medical Center, Wilmington. 4.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Peak Resources-Wilmington, Inc, Wilmington. 3.3 miles away, straight line.
- Nearest home health agency office
- Pruitthealth At Home - Brunswick, Leland. 2.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28479 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Leland Dialysis Center, Leland, 3.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Sedc Wilmington Dialysis Center, Wilmington, 3.7 miles away, straight line (CMS rating 3 of 5 stars)
Davita New Hanover, Wilmington, 4.1 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 28479.
Lower Cape Fear Lifecare, office in Wilmington, 3.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Liberty Home Care And Hospice, office in Wilmington, 8.4 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Kavita Persaud, MD, Wilmington. 8.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zone C on the North Carolina Know Your Zone evacuation zones. (North Carolina Emergency Management, map updated Jun 5, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Leland, NC, risk to homes is greater than 96% of communities in North Carolina and 86% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane very high, inland flooding relatively high, coastal flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Brunswick Cove Nursing Center a good nursing home?
CMS gives Brunswick Cove Nursing Center an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Brunswick Cove Nursing Center staffed?
Brunswick Cove Nursing Center reports 4.21 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Brunswick Cove Nursing Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Brunswick Cove Nursing Center have?
Brunswick Cove Nursing Center is certified for 175 beds.