Below average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Brunswick Cove Nursing Center during CMS and state inspections, most recent first.
A resident with Parkinson’s disease, failure to thrive, severe malnutrition, and psychosis exhibited escalating aggression despite non-pharmacological interventions. An NP gave a verbal order for Haldol 2 mg IM for agitation, but a unit manager nurse did not repeat back or verify the dose and instead retrieved four 5 mg/mL vials from the emergency supply and administered a total of 20 mg IM. The nurse initially reported the 20 mg dose to colleagues without it being questioned, only recognizing the tenfold error later while entering the written order into the record. The DON later identified the lack of read-back of the verbal order as a key process failure contributing to this significant medication error.
A resident receiving IV antibiotics via a PICC line did not have physician orders for required saline and heparin flushes, despite nursing staff administering these flushes according to protocol and pharmacy supply. Nursing staff relied on experience and available supplies but did not clarify or document orders in the eMAR, resulting in a deficiency related to the lack of proper physician authorization and documentation for catheter maintenance.
Two residents did not receive wound care and offloading interventions as ordered. One resident with a surgical hip wound did not have the Aquacel dressing changed per hospital discharge instructions, and staff failed to clarify or implement the correct protocol. Another resident with a neck/shoulder contracture did not consistently receive offloading or moisture-wicking interventions as ordered, with missed treatments documented and staff unable to confirm if care was provided.
A resident with quadriplegia and multiple pressure ulcers did not receive wound care as ordered by the physician. A nurse applied a petroleum gauze dressing to the right ankle, which was not prescribed, and failed to notify the wound care team that the wound had reopened. The Wound Treatment Nurse and DON confirmed that proper communication and adherence to orders were not followed, resulting in improper wound management.
A resident with COPD and chronic respiratory failure was observed receiving oxygen at 3 liters per minute via nasal cannula, despite a physician order for 2 liters per minute. Nursing staff did not verify the oxygen setting as required, and facility leadership confirmed that staff are expected to ensure oxygen is administered at the ordered rate.
A Wound Treatment Nurse provided wound care to a resident with a pressure ulcer without wearing the required protective gown, as mandated by the facility's Enhanced Barrier Precautions policy. The nurse only wore gloves and later admitted forgetting the gown, citing the absence of visible signage and accessible PPE in the room. Staff interviews confirmed that signage and PPE should have been present and that gowns and gloves are required for such care.
A resident with a history of subdural hemorrhage, syncope, and narcolepsy was not properly supervised while smoking, despite a care plan requiring supervision and a smoking apron after an incident where her clothing caught fire. Staff observations and interviews revealed the resident continued to smoke independently without the apron, and there was inconsistent awareness among staff about her supervision needs due to communication lapses.
The facility inaccurately coded MDS assessments for four residents, affecting areas such as medication, dental, and continence. A resident on antipsychotic medication was incorrectly recorded as not receiving it, while another with broken teeth was noted as having no dental issues. Additionally, a resident's continence status was misrepresented. These errors were attributed to human error, as confirmed by interviews with the MDS Coordinator and DON.
A resident with visual disturbances and a history of brain injury and Parkinson's Disease experienced delays in receiving ophthalmology and retinol specialist appointments. Despite multiple orders and requests, the resident was not seen by an ophthalmologist for several months, and the retinol specialist appointment was not obtained. Interviews revealed a breakdown in the facility's process for scheduling appointments, with staff unaware of orders and unable to provide documentation for the delays.
A facility failed to review and document pharmacy recommendations for a resident on antipsychotic medication. Despite multiple recommendations for an AIMS assessment by the Consultant Pharmacist, no documentation or response was recorded. Interviews confirmed that the assessment should have been conducted due to the resident's medication use.
A resident receiving olanzapine for delusions did not have an AIMS assessment completed, despite recommendations from the Consultant Pharmacist. The resident had severe cognitive impairment and was on antipsychotic and antianxiety medications. The Quality Assurance Nurse and DON acknowledged the oversight, citing a lack of automatic triggers in the computer system.
The facility failed to provide a CMS Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to two residents after their Medicare Part A skilled services ended. Both residents, one with moderate and the other with severe cognitive impairment, remained in the facility without receiving the necessary SNF ABN, despite signing a Notice of Medicare Non-Coverage (NOMNC). The Social Worker and Administrator were unaware of the requirement to issue the SNF ABN when residents stayed in the facility post-Medicare services.
The facility failed to develop comprehensive care plans for three residents, leading to deficiencies in addressing their medical needs. One resident's care plan did not include antidepressant or antiplatelet medication use, another's omitted bowel incontinence and antiplatelet medications, and a third's failed to mention an indwelling catheter. Interviews with the MDS Coordinator and DON confirmed that the care plans should have accurately reflected the residents' conditions and medication use.
The facility failed to display required oxygen use signage for two residents prescribed continuous oxygen therapy. One resident with asthma and another with chronic respiratory conditions were observed without signage outside their rooms and not wearing their oxygen as prescribed. Staff interviews confirmed the oversight, and the DON acknowledged the responsibility to place signage when oxygen orders were issued. Physicians noted no adverse outcomes as saturation rates were normal.
A resident in hospice care fell and sustained a head injury, but the facility failed to promptly notify the responsible party and the physician. The hospice nurse informed the responsible party, who opted for comfort measures. The facility's nurse practitioner and physician were not informed until the following day.
Significant Medication Error: Tenfold Haldol Overdose Due to Verbal Order Breakdown
Penalty
Summary
The deficiency involves the facility’s failure to prevent a significant medication error when a nurse administered an incorrect dose of Haldol IM to a resident. The resident had recently been discharged from a hospital stay for hip pain following a fall and was admitted to the facility with diagnoses including Parkinson’s disease, adult failure to thrive, severe protein-calorie malnutrition, benign paroxysmal vertigo, history of falling, depression, and cognitive communication deficit. At hospital discharge, and on admission to the facility, the resident was prescribed multiple psychotropic medications, including clozapine for psychosis related to Parkinson’s disease, clonazepam as needed for anxiety, and Remeron for depression. The resident’s medical history also included recurrent falls, severe malnutrition, and a history of delirium and significant hallucinations. On the day after admission, the resident exhibited escalating aggressive behaviors toward staff, including punching and head-butting nurses and slapping a nurse on the buttocks. Staff attempted non-pharmacological interventions such as redirection, providing activities, offering food and drink, and toileting, but these measures did not reduce the behaviors. Nurse practitioners and nursing staff observed the resident kicking, punching, scratching, and grabbing at staff, and the NP decided to order Haldol 2 mg IM for agitation, fighting, and restlessness. The NP reported that she clearly gave a verbal order for Haldol 2 mg IM to a unit manager nurse and then wrote the order, leaving it at the nurse’s computer for later entry into the medical record. The medication error occurred when the unit manager nurse obtained Haldol from the emergency medication supply and administered 20 mg IM instead of the ordered 2 mg. The nurse stated she could not recall whether the NP had specified the dose and admitted she did not repeat the verbal order back to the NP. She reported that “20 mg” stuck in her mind, took four vials of Haldol 5 mg/mL from the emergency supply, and administered the full 20 mg dose to the resident. After giving the injection, she informed another nurse and the NP that she had administered 20 mg, and no one questioned the dose at that time. The nurse later realized the error while entering the written order into the medical record, recognizing that the ordered dose was 2 mg, not 20 mg. The facility’s DON identified the failure to repeat back the verbal order as a breakdown in the process that contributed to the medication error. The consultant pharmacist and medical director confirmed that the intended dose of 2 mg IM was appropriate for the resident’s acute behaviors and that the resident instead received a significantly higher single dose than ordered.
Failure to Obtain Orders for PICC Line Flushes During IV Antibiotic Therapy
Penalty
Summary
The facility failed to obtain physician orders for flushing a percutaneous intravenous central catheter (PICC) with normal saline and heparin for a resident receiving intravenous (IV) antibiotics. The resident, who had diagnoses including diabetic foot ulcer, osteomyelitis, and lower extremity impairment, was admitted with a PICC line for administration of IV antibiotics such as Meropenem and Vancomycin. While there were physician orders for the antibiotics and for monitoring and changing the PICC dressing, there were no documented orders for the administration of saline or heparin flushes to maintain catheter patency. Despite the absence of orders, nursing staff routinely used prefilled saline and heparin flushes labeled for the resident, following the SASH (saline, antibiotic, saline, heparin) protocol before and after administering IV antibiotics. Multiple nurses confirmed during interviews that they administered the flushes based on their training and experience, and because the pharmacy provided the flushes. However, they acknowledged that they should have clarified and obtained specific orders for these flushes from the physician and entered them into the electronic medical record (eMAR). The pharmacy technician stated that flushes were automatically sent when IV antibiotics were ordered, but it was the facility's responsibility to ensure orders for flushes were entered into the eMAR. Both the nurse practitioner and the physician confirmed that explicit orders for saline and heparin flushes should have been in place to ensure proper documentation and administration. The Director of Nursing also acknowledged that, although best practices were followed in administering the flushes, the lack of documented orders constituted a deficiency.
Failure to Provide Ordered Wound Care and Offloading Interventions
Penalty
Summary
The facility failed to provide wound care and offloading as ordered for two residents reviewed for skin integrity. For one resident who was admitted after a left total hip replacement, the hospital discharge summary included an order for Aquacel dressing to be changed every 5-7 days or as needed. However, this order was not transcribed into the facility's physician orders, and instead, a daily cleansing and dry dressing order was implemented. Multiple nurses observed the Aquacel dressing in place but did not clarify the discrepancy between the observed dressing and the written orders. Documentation in the Treatment Administration Record (TAR) and nursing notes reflected confusion and lack of action to clarify or implement the correct wound care protocol. The Aquacel dressing was not changed within the specified timeframe, and the correct order was only identified after review by the Wound Treatment Nurse several days later. Another resident with a left neck/shoulder contracture and a history of rheumatoid arthritis, diabetes, and cellulitis had a physician order to offload the contracture and keep the neck fold clean and dry every 8 hours. Observations and interviews revealed that the offloading and moisture-wicking interventions were not consistently implemented as ordered. Nursing staff failed to ensure that offloading devices or moisture-wicking fabric were in place, and documentation in the TAR showed missed treatments. Nurses interviewed could not recall if the interventions were performed and acknowledged missing the order. Both deficiencies were confirmed through record review, staff interviews, and direct observation. The failures included not following hospital discharge orders for wound care and not implementing or documenting offloading and moisture management for a contracture as ordered. These lapses were not questioned or clarified by nursing staff, leading to a lack of appropriate treatment and care as specified in the residents' care plans and physician orders.
Failure to Follow Physician Orders for Wound Care
Penalty
Summary
A deficiency occurred when the facility failed to follow a physician's order for wound treatment for a resident with quadriplegia, a history of vertebral fracture, and chronic pain. The resident had a stage 3 pressure ulcer and an unstageable deep tissue injury, both not present on admission. The care plan required monitoring, documentation, and specific wound care interventions, including weekly measurements and reporting abnormalities. Physician orders specified the type of dressing and frequency for each wound site. During an observation, it was found that a nurse applied a petroleum gauze dressing to the resident's right ankle, which was not in accordance with any current physician order. The correct treatment for the right ankle, which had previously resolved, was not in place, and the nurse had mistakenly applied the dressing intended for a different wound site. The Wound Treatment Nurse was unaware that the right ankle wound had reopened and had not been notified by the nurse who performed the dressing change. The nurse who applied the dressing admitted to putting the wrong dressing on the wrong area, believing there was an order for the right ankle. The Director of Nursing confirmed that staff are expected to notify the physician and Wound Treatment Nurse of new wounds and to follow prescribed orders. The Wound Physician also stated that new wounds should be reported so appropriate treatment can be implemented. The lack of communication and failure to follow physician orders led to improper wound care for the resident.
Failure to Administer Oxygen at Prescribed Rate
Penalty
Summary
A deficiency occurred when a resident with chronic obstructive pulmonary disease (COPD) and chronic respiratory failure was not administered oxygen at the physician-ordered rate. The resident had a documented order for continuous oxygen via nasal cannula at 2 liters per minute, and the care plan reflected this intervention. However, during two separate observations, the oxygen concentrator was set at 3 liters per minute instead of the prescribed 2 liters per minute. This discrepancy was confirmed by a nurse who was responsible for the resident's care during the observed shifts, who admitted she had not checked the oxygen setting earlier that morning. Interviews with facility staff, including the nurse practitioner and the Director of Nursing, confirmed that the expectation was for nurses to ensure oxygen was set at the ordered rate and to contact the provider if adjustments were needed. The Director of Nursing stated that nurses should verify oxygen rates when assuming care and throughout their shift. The administrator also confirmed the expectation that nurses monitor oxygen settings to ensure compliance with provider orders. The failure to administer oxygen at the prescribed rate was identified through record review, direct observation, and staff interviews.
Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to follow its infection control policy and procedures for Enhanced Barrier Precautions (EBP) during high contact care for a resident with a pressure ulcer wound. During an observation of wound care, the Wound Treatment Nurse performed a dressing change for the resident without wearing the required protective gown, as stipulated by the facility's EBP policy. The nurse only wore gloves and did not don a gown at any point during the procedure, despite the resident having an open wound that required dressing. The nurse later acknowledged forgetting to put on the gown and indicated that the absence of visible signage in the resident's room contributed to this oversight. Further observations revealed that there was no visible personal protective equipment (PPE) such as gowns or gloves in the resident's room, nor was there appropriate signage posted to indicate the required PPE for high contact care activities. The only indicator present was a small magnetic banner on the door frame, which did not specify the PPE requirements. Interviews with staff, including the Wound Treatment Nurse and the DON, confirmed that signage and PPE should have been present and accessible, and that staff were expected to wear gowns and gloves for wound care under EBP. The lack of signage and accessible PPE contributed to the failure to adhere to infection control protocols during the observed care.
Failure to Supervise Resident Requiring Smoking Precautions
Penalty
Summary
A deficiency occurred when the facility failed to provide adequate supervision and ensure the use of a smoking apron for a resident identified as requiring supervision while smoking. The resident, who had a history of nontraumatic subdural hemorrhage, syncope, collapse, and narcolepsy, was initially assessed as safe to smoke independently. However, following an incident where the resident's clothing caught fire from a cigarette, a reassessment determined that supervision and the use of a smoking apron were necessary due to burn marks on her clothing. Despite the updated care plan and smoking assessment indicating the need for supervision and a smoking apron, the resident continued to smoke independently without staff supervision and did not wear the provided apron. Observations confirmed that the resident was able to access smoking materials, smoke outside without supervision, and did not use the smoking apron, which was found stored in her dresser drawer. Interviews with staff revealed inconsistent awareness of the resident's supervision status, with some staff considering her an independent smoker and others acknowledging the need for supervision after the incident. The Director of Nursing and Administrator acknowledged lapses in communication regarding the resident's supervision status, particularly following changes in key nursing personnel. The lack of consistent implementation of the updated care plan and supervision requirements resulted in the resident continuing to smoke unsupervised and without the required protective equipment, despite her medical history and recent incident involving fire.
Inaccurate MDS Coding for Medications, Dental, and Continence
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for four residents in areas including medication, dental, and continence. Resident #283, who was admitted with major depressive disorder, was prescribed Aripiprazole, an antipsychotic medication. However, the MDS assessment incorrectly indicated that no antipsychotic medication was received since admission. Similarly, Resident #115, who received olanzapine for delusions, had an MDS assessment that failed to reflect the receipt of antipsychotic medication during the lookback period, particularly in the section regarding gradual dosage reduction. Resident #99, admitted with conditions including diabetes and stroke, was observed to have multiple broken upper teeth, contrary to the MDS assessment which indicated no dental issues. Additionally, Resident #76, who was noted to be continent of bowel and bladder in a progress note, was incorrectly coded as occasionally incontinent of bowel in the MDS assessment. Interviews with the MDS Coordinator and the Director of Nursing revealed these errors were due to human error, and there was an expectation for MDS assessments to be completed accurately.
Failure to Schedule Timely Vision Care Appointments
Penalty
Summary
The facility failed to ensure that a resident received timely ophthalmology and retinol specialist appointments as ordered. The resident, who had a history of post-traumatic brain injury and Parkinson's Disease, experienced visual disturbances and was recommended for an ophthalmology consult on multiple occasions. Despite orders being entered by nurses and requests made by the physician and nurse practitioner, the resident was not seen by an ophthalmologist until several months later, and the recommended retinol specialist appointment was not obtained. Interviews with facility staff revealed a breakdown in the process for scheduling appointments. The Medical Records Specialist, responsible for coordinating ophthalmology visits, indicated that the facility's usual provider was unavailable, and the Director of Nursing was informed of this issue. The Transportation Specialist, tasked with scheduling appointments, was unable to provide documentation or recall why there was a delay in obtaining the ophthalmology appointment and was unaware of the retinol specialist order. The Director of Nursing acknowledged a system process failure in handling referrals and appointments. The process required nurses to complete an appointment tracker form and submit it to the Transportation Specialist, but this was not consistently followed. Additionally, the consult note from the ophthalmologist was not reviewed by the nurse practitioner or physician, further contributing to the delay in obtaining necessary specialist care for the resident.
Failure to Document Pharmacy Recommendations for Antipsychotic Medication
Penalty
Summary
The facility failed to ensure that pharmacy recommendations were reviewed and documented for a resident receiving antipsychotic medication. Resident #115, who was admitted with diagnoses including depression, dementia, and agitation, was prescribed olanzapine for psychotic disturbance and anxiety. Despite the Consultant Pharmacist recommending an AIMS assessment on multiple occasions, there was no documentation of the assessment being completed or any response to the recommendations. Interviews with the Consultant Pharmacist and the Director of Nursing confirmed that an AIMS assessment should have been conducted due to the resident's antipsychotic medication use.
Failure to Complete AIMS Assessment for Resident on Psychotropic Medication
Penalty
Summary
The facility failed to complete an Abnormal Involuntary Movement Scale (AIMS) assessment for a resident who was receiving psychotropic medications. The resident, who was admitted with diagnoses including psychotic disturbance with mood disturbance and anxiety, had been receiving olanzapine, an antipsychotic medication, since March 11, 2024, for delusions. Despite the resident's severe cognitive impairment and the use of antipsychotic and antianxiety medications, there was no record of an AIMS assessment being completed in the electronic medical record. The Consultant Pharmacist had recommended an AIMS assessment on multiple occasions, specifically on March 20, April 16, May 22, and June 17, 2024. Interviews with the Consultant Pharmacist, Quality Assurance Nurse, and Director of Nursing revealed that the assessment was overlooked. The Quality Assurance Nurse acknowledged responsibility for completing the AIMS when recommended, and the Director of Nursing confirmed that the assessment had never been completed, attributing the oversight to the computer system not automatically triggering the need for the assessment.
Failure to Provide SNF ABN to Residents Post-Medicare Part A
Penalty
Summary
The facility failed to provide a Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to two residents prior to the termination of their Medicare Part A skilled services. Resident #112, who had moderate cognitive impairment, was admitted to the facility and received Medicare Part A services until the end of April 2024. Although a Notice of Medicare Non-Coverage (NOMNC) was signed, there was no record of an SNF ABN being provided. During an interview, Resident #112 could not recall receiving any forms related to the end of Medicare Part A services. The facility's Social Worker admitted to not completing the SNF ABN form, citing a lack of awareness that it was necessary when a resident remained in the facility after Medicare Part A services ended. Similarly, Resident #115, who had severe cognitive impairment, was admitted to the facility and received Medicare Part A services until early February 2024. A NOMNC was signed, but no SNF ABN was provided. The Social Worker again acknowledged not completing the SNF ABN form due to unawareness of its necessity. The facility Administrator also stated a lack of awareness regarding the requirement for the SNF ABN form when residents remain in the facility post-Medicare Part A services. These oversights resulted in the facility's failure to properly inform residents of their potential financial liability for services not covered by Medicare.
Deficiencies in Comprehensive Care Planning
Penalty
Summary
The facility failed to develop comprehensive person-centered care plans for three residents, leading to deficiencies in addressing their medical needs. Resident #76, who was admitted with depression, anxiety, and insomnia, was found to have a care plan that did not include focus areas for antidepressant or antiplatelet medication use, despite receiving these medications. The care plan also inaccurately reflected the resident's continence status, as the resident was able to take herself to the bathroom and was continent of bowel and bladder. Interviews with the MDS Coordinator and the DON confirmed that the care plan should have included these medications and accurately reflected the resident's condition. Resident #99, admitted with a history of stroke and peripheral vascular disease, had a care plan that failed to address bowel incontinence and the use of antiplatelet medications. The resident was frequently incontinent of bladder and always incontinent of bowel, yet the care plan only included bladder incontinence. Additionally, the care plan did not mention medications for constipation, which the resident was receiving. Interviews with the MDS Coordinator and the DON indicated that the care plan should have included bowel incontinence and the medications the resident was receiving. Resident #283, admitted with urinary retention, had a care plan that did not include the use of an indwelling catheter, despite having a physician's order for it. The care plan focused on bowel and bladder incontinence but omitted the catheter, which was a significant aspect of the resident's care. The MDS Coordinator and the DON acknowledged that the care plan should have included the indwelling catheter to accurately reflect the resident's condition.
Failure to Display Oxygen Use Signage for Residents
Penalty
Summary
The facility failed to apply appropriate signage indicating the use of oxygen outside the rooms of two residents who were prescribed continuous oxygen therapy. Resident #11, diagnosed with asthma, was admitted with an order for continuous oxygen at 2 LPM via nasal cannula. Observations on multiple occasions revealed that there was no signage outside her room indicating oxygen use, and she was not wearing her oxygen as prescribed. Interviews with staff, including a medication aide and a nurse, confirmed the absence of the required signage and the oversight in ensuring the resident was using her oxygen. The Director of Nursing acknowledged that the signage should have been placed when the oxygen order was written or when the concentrator was placed in the room. Similarly, Resident #112, with diagnoses including congestive heart failure and chronic respiratory failure, was also prescribed continuous oxygen at 2 LPM. Observations showed no signage outside his room, and he was seen without his oxygen while in the dining room. Interviews with the resident and nursing staff revealed that he would remove his oxygen when leaving his room, and the staff had not placed the necessary signage. The Director of Nursing confirmed the responsibility of the nursing staff to place the signage when the oxygen order was issued. Both residents' physicians noted that there were no adverse outcomes from the residents not wearing their oxygen, as their saturation rates remained within normal limits.
Failure to Notify Responsible Party and Physician of Resident's Fall
Penalty
Summary
The facility failed to notify the responsible party and the facility physician of a resident's fall and change in condition. Resident #89, who was in hospice care and had a do not resuscitate order, fell out of bed and sustained a laceration over her left eyebrow. Despite the presence of local family members, the facility did not inform the resident's designated responsible party, her daughter living in North Dakota, or the facility physician about the fall and subsequent change in condition until the following day. Interviews with staff and family members revealed that the hospice nurse was the first to inform the responsible party about the fall and the resident's unresponsive state. The hospice nurse arrived at the facility after being notified by the staff and found the resident unresponsive with fixed pupils. The responsible party was contacted by the hospice nurse, not the facility, and was informed of the resident's condition and the options for care. The responsible party decided against transferring the resident to a hospital, opting for comfort measures instead. The facility's nurse practitioner and physician were not informed of the resident's fall and change in condition until the day after the incident. The nurse practitioner learned of the situation during rounds, and the physician noted that there were no records of any calls from the facility regarding the incident. This lack of timely communication with both the responsible party and medical providers constitutes a deficiency in the facility's protocol for handling changes in a resident's condition.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Winnabow
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Peak Resources-wilmington, Inc | 3.3 mi | ★★★★★ | 10 | 1 |
| August Healthcare At Wilmington | 3.3 mi | ★★★★★ | 0 | 0 |
| Azalea Health & Rehab Center | 3.9 mi | ★★★★★ | 0 | 0 |
| Cypress Pointe Rehabilitation Center | 4 mi | ★★★★★ | 1 | 0 |
| Trinity Grove | 6.3 mi | ★★★★★ | 5 | 0 |
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