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Complaint Investigation

Brunswick Rehabilitation And Healthcare Center

March 5, 2025 · Bolivia, NC · 1070 Old Ocean Highway
Citations 1
CMS Rating 1/5
Beds 90
Provider ID 345549
Healthcare Facility
Brunswick Rehabilitation And Healthcare Center
Bolivia, NC  ·  View full profile →
Inspection Summary

Brunswick Rehabilitation and Healthcare Center in Bolivia, NC — inspection on March 5, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF686
TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 40044 Some (Resident #39, Resident #53, and Resident #60) and incontinence care (Resident #7) to residents who were affected

Findings included.

1a.) Resident #39 was admitted to the facility on [DATE] with diagnosis including Alzheimer's disease.

The Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #39 was severely cognitively impaired.

She had no rejection of care.

She had impaired range of motion in her bilateral upper and lower extremities and was dependent on staff for activities of daily living (ADL).

A care plan dated 1/16/25 revealed Resident #39 had ADL self-care performance deficit related to her diagnosis of Alzheimer's disease, primary osteoarthritis, diabetes, and hypertension.

Interventions included to encourage participation in tasks.

During an interview on 2/16/25 at 5:00 PM Nurse #5 stated Resident #39 did not receive her scheduled shower last night on Saturday 2/15/25.

She stated it was reported to her this morning when she came on duty by the night nurse and Resident #39 still had not had a shower as of now.

She indicated she did not know why the showers weren't done by the Nurse Aides.

She stated Resident #39 was scheduled for showers to be given on night shift on Wednesday and Saturday nights.

During a phone interview on 3/4/25 at 8:30 PM Nurse Aide #9 stated he was the assigned Nurse Aide on 2/15/25 from 7:00 AM until 7:00 PM. He stated baths were not given to any residents during his shift on 2/15/25 because he was the only Nurse Aide assigned on the locked unit that day and there was no time to give baths.

During an interview on 2/18/24 at 3:00 PM Nurse Aide #7 stated he worked Saturday night 2/15/25 on the locked unit from 7:00 PM until 7:00 AM. He stated he was an agency nurse aide, and he was made aware of who needed showers when he came on shift. He stated three residents were supposed to get showered that night but stated he was busy during the shift and just didn't get the showers done on any of the three residents which included Resident #39. He stated there were two nurse aides on duty and assigned to the locked unit along with the nurse on Saturday night from 7:00 PM until 7:00 AM which was the usual number of staff on the locked unit.

During an interview on 2/16/25 at 2:51 PM Nurse Aide #5 stated she was the assigned Nurse Aide on the locked unit today and was scheduled to work from 7:00 AM until 7:00 PM.

She stated the second Nurse Aide who was scheduled this shift called out this morning, so it was just her and the nurse until approximately 10:00 AM.

She stated Resident #39 had not been given a bath today at this point because there was no time this morning to give baths.

b.) Resident #53 was admitted to the facility on [DATE] with diagnoses including dementia.

345549

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 345549 B.

Wing 03/05/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Bolivia Rehabilitation and Healthcare Center 1070 Old Ocean Highway Bolivia, NC 28422

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Bolivia, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Brunswick Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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