Bolivia Rehabilitation and Healthcare Center — nursing home in Bolivia, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 77.7 CMS, MDS-derived
CMS Certification Number: 345549
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 6, 2010
Ownership type: For profit - Limited Liability company
Operator (legal business name): Brunswick Operator LLC
CMS chain: Yad Healthcare 14 facilities
Phone: (910) 755-5955
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest May 5, 2026

Citations

47

38 health · 9 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D21	E18	F4
Minimal	A·	B1	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$94,140

Payment denials

1

Latest

Dec 11, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345549
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: Jan 6, 2010
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 5, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 5, 2026	Health	Health Complaint, Health Standard	9	Potential harm	—	Open →
Mar 5, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 5, 2025	Health	Health Complaint, Health Standard	17	Potential harm	1	Open →
Sep 5, 2024	Fire safety	Fire Safety Complaint	3	Potential harm	—	Open →
Mar 27, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 27, 2024	Health	Health Complaint, Health Standard	6	Potential harm	1	Open →
Jan 25, 2024	Health	Health Complaint	3	Potential harm	—	Open →
Dec 11, 2023	Health	Health Complaint	3	Immediate jeopardy	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Dec 11, 2023	Denial of payment for new admissions	—	Jan 12, 2024 · 34 days	345549\|Payment Denial\|2024-01-12
Dec 11, 2023	Civil money penalty (fine)	$94,140	—	345549\|Fine\|42126

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D21	E18	F4
Minimal	A·	B1	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 5, 2026	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 18, 2026
May 5, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 18, 2026
May 5, 2026	K-0344	Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 18, 2026
May 5, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 21, 2026	Complaint
May 5, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2026
May 5, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2026	Complaint
May 5, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2026	Complaint
May 5, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 21, 2026
May 5, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 21, 2026	Complaint
May 5, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2026
May 5, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 21, 2026
May 5, 2026	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected May 21, 2026
Mar 5, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 18, 2025
Mar 5, 2025	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 4, 2025
Mar 5, 2025	F-0580	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 · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 4, 2025	Complaint
Mar 5, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 4, 2025	Complaint
Mar 5, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 4, 2025	Complaint
Mar 5, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 4, 2025
Mar 5, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 4, 2025	Complaint
Mar 5, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Apr 4, 2025	Complaint
Mar 5, 2025	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0756	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 · Medication management	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 4, 2025
Mar 5, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 4, 2025
Mar 5, 2025	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 4, 2025
Mar 5, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Plan of correction, not yet verified Apr 4, 2025
Sep 5, 2024	K-0161	Use approved construction type or materials. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 12, 2024	Complaint
Sep 5, 2024	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 12, 2024	Complaint
Sep 5, 2024	K-0342	Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 12, 2024	Complaint
Mar 27, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 23, 2024
Mar 27, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 23, 2024
Mar 27, 2024	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Apr 24, 2024
Mar 27, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 24, 2024	Complaint
Mar 27, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 24, 2024
Mar 27, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2024
Mar 27, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Apr 24, 2024
Mar 27, 2024	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Plan of correction, not yet verified Apr 24, 2024
Jan 25, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 15, 2024	Complaint
Jan 25, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 15, 2024	Complaint
Jan 25, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Feb 15, 2024	Complaint
Dec 11, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Jan 25, 2024	Complaint
Dec 11, 2023	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Jan 25, 2024	Complaint
Dec 11, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Feb 15, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.51

State avg 3.87US avg 3.90

Registered nurse (RN)0.35

State avg 0.62US avg 0.69

Licensed practical nurse1.22

State avg 0.88US avg 0.86

Nurse aide1.94

State avg 2.37US avg 2.35

Weekend total nurse3.18

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.96 (case-mix index 1.24).

Staff turnover

Total nursing staff turnover78.6%

State avg 48.7%US avg 45.3%

Registered nurse turnover100.0%

State avg 45.7%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 5, 2026
Cycle 1 health score: 52
Total weighted score: 111.5

Operating entity

Brunswick Operator LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Yad Healthcare

14 facilities in 3 states. CMS chain ID 640.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.5

Ownership disclosures

Disclosures

6

Organizations

3

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Brunswick Holdings I LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2024
West Nc Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2024
Tzvi Alter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Brunswick Holdings I LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2024
West Nc Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2024
Tzvi Alter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	not provided	Jun 1, 2024
Ty Lellock	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2024
1070 Old Ocean Highway, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Ty Lellock	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 5, 2025

Same chain in North Carolina

All 13 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Mountain Ridge Rehabilitation and Healthcare Cente 611 Old US Highway 70 East, Black Mountain, NC 28711 CCN 345048	97		Jul 9, 2026	262 IJ1 harm	$32k
Kenansville Rehabilitation and Healthcare Center 209 Beasley Street, Kenansville, NC 28349 CCN 345150	92		Aug 27, 2026	213 open	—
Laurel Park Rehabilitation and Healthcare Center 901 Halstead Boulevard, Elizabeth City, NC 27909 CCN 345184	108		May 21, 2025	421 harm5 open	$11k
Warsaw Rehabilitation and Healthcare Center 214 Lanefield Road, Warsaw, NC 28398 CCN 345252	100		Jun 22, 2026	302 IJ1 harm7 open	$44k
Asheboro Rehabilitation and Healthcare Center 400 Vision Drive, Asheboro, NC 27203 CCN 345277	100		Aug 13, 2025	351 harm1 open	—
Rockwell Park Rehabilitation and Healthcare Center 1930 West Sugar Creek Road, Charlotte, NC 28262 CCN 345489SFF	120	Not rated	Sep 17, 2026	397 IJ1 harm3 open	$339k
Fletcher Rehabilitation and Healthcare Center 86 Old Airport Road, Fletcher, NC 28732 CCN 345522	90		Sep 3, 2026	392 harm3 open	$63k
Ramseur Rehabilitation and Healthcare Center 7166 Jordon Road, Ramseur, NC 27316 CCN 345523	90		Aug 1, 2025	342 IJ2 harm7 open	$103k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1070 Old Ocean Highway, Bolivia, NC 28422
ZIP: 28422
County: Brunswick County FIPS 37019
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Liberty Commons Nursing & Rehab Center of Southpor 630 Fodale Avenue, Southport, NC 28461 CCN 345373	23.5 km	99		Aug 13, 2026	281 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345549	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345549	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345549

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction