Brunswick Cove Nursing Center ranks as Brunswick County’s biggest nursing home in Q1

Brunswick Cove Nursing Center emerged as the biggest nursing home in Brunswick County during the first quarter of 2026, data from the Centers for Medicare and Medicaid Services (CMS) shows.

The center provided 175 available beds—62 above the county average for that period—and supported an average of 127.1 residents.

The CMS awarded Brunswick Cove Nursing Center an overall rating of 3 out of 5, which is slightly above the 2.9 average recorded for nursing homes statewide in North Carolina.

Brunswick Health & Rehab Center|Autumn Care of Shallotte came in as the second largest within the county during the quarter, offering 100 beds.

Through the initial quarter of 2026, Brunswick Cove Nursing Center had incurred $102,444 in 14 fines and was penalized 14 times.

Brunswick County, North Carolina, had a total of five for-profit nursing homes.

U.S. Census Bureau estimates indicate the number of older Americans is continuing to rise while the population of younger age groups contracts. From 2020 to 2024, the 65-and-older demographic increased 13%, whereas the population under 18 decreased 1.7%. The nation’s aging adult population has expanded rapidly over the last century, from 4.9 million in 1920 to above 61 million in 2024.

A 2021 study found that nearly half of older adults—approximately 28 million—may require long-term services and support. More than one-third could eventually need nursing home care.

“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”

Centers for Medicare and Medicaid Services supplied the information for this article. The source dataset is available here.